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Early Childhood Program Inventory
Appendix I Early Childhood Program Inventory An Inventory of Governmentfunded Programs, Services, and Infrastructure Building Efforts for Young Children from Birth through Age 8 and their Families May 2013 Office of Great Start State of Michigan Table of Contents About the Early Childhood Program Inventory............................................................................................................. 1 Acronyms to Know .............................................................................................................................................................. 3 How to Read the Early Childhood Program Inventory................................................................................................ 4 Community Health Programs Childhood Lead Poisoning Prevention Program ...........................................................................................................................6 Children with Serious Emotional Disturbance Home & Community Based Services Waiver ............................................... 7 Children's Special Health Care Services (CSHCS) .......................................................................................................................9 Children's Waiver Program (CWP) ............................................................................................................................................. 11 Dental Services: Healthy Kids Dental ......................................................................................................................................... 12 Dental Services: SEAL! Michigan Program................................................................................................................................. 13 Early Childhood Comprehensive Systems Grant ....................................................................................................................... 14 Early Hearing Detection and Intervention (EHDI) ...................................................................................................................... 15 Family Center for Children and Youth with Special Health Care Needs ........................................................................... 16 Family Planning: Plan First! ........................................................................................................................................................... 18 Family Planning: Title X ................................................................................................................................................................. 19 Family Support Subsidy (FSS) Program ...................................................................................................................................... 20 Fetal Alcohol Spectrum Disorder (FASD) ..................................................................................................................................... 22 Fetal-Infant Mortality Review (FIMR) ........................................................................................................................................... 23 Hearing Screening ........................................................................................................................................................................... 24 Home-Based Services Intervention ............................................................................................................................................... 26 Home Visiting Initiative–MIECHV .................................................................................................................................................. 28 Immunization Program..................................................................................................................................................................... 30 Infant Death Prevention and Bereavement ................................................................................................................................ 32 Local Maternal & Child Health (LMCH) Program ..................................................................................................................... 33 Maternal & Child Health (MCH) Medicaid Outreach .............................................................................................................. 35 Maternal Infant Health Program (MIHP) ..................................................................................................................................... 36 Medicaid Health Care .................................................................................................................................................................... 37 Michigan Maternal Mortality Surveillance Program ................................................................................................................ 38 MIChild ............................................................................................................................................................................................... 39 MI Healthy Baby .............................................................................................................................................................................. 40 Newborn Screening Program ........................................................................................................................................................ 41 Nurse-Family Partnership ............................................................................................................................................................... 42 Obesity Prevention in Early Learning and Development Programs Utilizing NAP SACC ................................................ 43 Parent Leadership ............................................................................................................................................................................ 45 Pediatric AIDS Prevention and Support ...................................................................................................................................... 46 Pregnancy Risk Assessment Monitoring System (PRAMS) ........................................................................................................ 48 Prenatal Smoking Cessation (PSC) ............................................................................................................................................... 49 Prevention Direct Services: Child Care Expulsion Prevention (CCEP) Program ................................................................. 50 Prevention Direct Services: Infant Mental Health ..................................................................................................................... 52 Prevention Direct Services: Other Models ................................................................................................................................. 54 Project LAUNCH ............................................................................................................................................................................... 56 Safe Delivery .................................................................................................................................................................................... 58 Safe Sleep......................................................................................................................................................................................... 59 School-Based Services .................................................................................................................................................................... 60 Shaping Positive Lifestyles and Attitudes through School Health (SPLASH) ........................................................................ 61 Substance Abuse Treatment: Designated Women's Programs ............................................................................................. 62 Vision Screening ............................................................................................................................................................................... 64 WIC Project FRESH .......................................................................................................................................................................... 65 Women, Infants, & Children (WIC) .............................................................................................................................................. 66 Human Services Programs Adoption Services Program ........................................................................................................................................................... 67 Adoption Subsidy ............................................................................................................................................................................. 69 Child Care Licensing ........................................................................................................................................................................ 71 Children’s Protective Services ........................................................................................................................................................ 72 Children's Trust Fund Direct Service Grants................................................................................................................................ 73 Children's Trust Fund Local Councils ............................................................................................................................................. 75 Child Support Administration ......................................................................................................................................................... 76 Families First of Michigan (FFM).................................................................................................................................................... 78 Family Independence Program (FIP) ............................................................................................................................................ 80 Family Reunification Program (FRP) ............................................................................................................................................. 82 Food Assistance Program (FAP) .................................................................................................................................................... 84 Foster Care ........................................................................................................................................................................................ 86 Guardianship Assistance Program (GAP) ................................................................................................................................... 87 Refugee Assistance Program (RAP) .............................................................................................................................................. 89 Strong Families/Safe Children ...................................................................................................................................................... 91 Early Childhood Investment Corporation (ECIC) Programs Great Start Early Learning Advisory Council ............................................................................................................................ 93 Education Programs 21st Century Community Learning Centers (21st CCLC) ......................................................................................................... 94 Afterschool Snack Program............................................................................................................................................................ 96 Child and Adult Care Food Program (CACFP) .......................................................................................................................... 98 Child Development and Care (CDC) Program ........................................................................................................................100 Commodity Supplemental Food Program (CSFP) ...................................................................................................................101 Early Childhood Block Grant: Great Parents, Great Start..................................................................................................102 Early Childhood Block Grant: Great Start Collaboratives (GSCs) and Parent Coalitions (GSPCs)...........................103 Early Head Start ............................................................................................................................................................................104 Early On® .........................................................................................................................................................................................106 Great Start to Quality ..................................................................................................................................................................108 Great Start Readiness Program (GSRP) ...................................................................................................................................109 Head Start .......................................................................................................................................................................................111 Head Start State Collaboration Office (HSSCO) ...................................................................................................................112 K–12 Public School System ..........................................................................................................................................................113 Migrant Education Program .........................................................................................................................................................114 National School Lunch Program (NSLP) .....................................................................................................................................115 School Breakfast Program (SBP).................................................................................................................................................117 Section 31a – At-Risk ....................................................................................................................................................................119 Special Education ...........................................................................................................................................................................121 Summer Food Service Program (SFSP) ......................................................................................................................................123 The Emergency Food Assistance Program (TEFAP) .................................................................................................................125 Title I, Part A – Improving Basic Programs ...............................................................................................................................126 Title II – Improving Teacher and Principal Quality .................................................................................................................128 Title III – Language Instruction for Limited English Proficient Students ..............................................................................129 Tax Credits Child and Dependent Care Credit .............................................................................................................................................131 Child Tax Credit .............................................................................................................................................................................133 Earned Income Tax Credit – Federal ........................................................................................................................................134 Earned Income Tax Credit – Michigan ......................................................................................................................................136 Appendix • Methodology: Program Inventory Estimates ..................................................................................... 138 Individual Program Estimate Methodology ..............................................................................................................................139 About the Early Childhood Program Inventory Overview The Early Childhood Program Inventory is a comprehensive look at state and federal investments that support Michigan’s children (from birth through age 8 or grade 3) and their families. This inventory of programs, services, and efforts to improve system infrastructure represents the most comprehensive Note: For the purposes of this look at early childhood programming in Michigan ever inventory, the term “program” is compiled. The inventory provides a brief profile of each used to refer to programs, services, program and is intended to provide only basic and infrastructure building efforts programmatic information. For additional details about that contribute to Michigan’s early a specific program, please reference the program’s childhood system. website or the resources used to compile the profile (listed in the footnotes for each program). This inventory was created to be a resource for policymakers, parents, families, community members, program staff, state officials, advocates, and more. To help readers locate specific programs and learn about the broader system, programs are organized alphabetically by program area – community health, human services, Early Childhood Investment Corporation (ECIC), and tax credits. These program areas are generally administered by DCH, MDE, DHS, and Treasury respectively. 1 Program Selection To be included in this inventory, programs must: • • Receive state and/or federal funding (In other words, efforts funded completely by local or private dollars are not included in this inventory.) Serve children (birth through age 8) and/or their families directly or indirectly To compile the list of programs included in the inventory, the Office of Great Start (OGS): 1. Reviewed programs included in previous early childhood reports, including the 2010 report Building a Sustainable Future: Analysis of the Fiscal Resources Supporting Children from Birth Through Age 8 in Michigan (written by The Finance Project and funded by the W.K. Kellogg Foundation) 2. Shared a draft list of programs with staff members at the Department of Community Health (DCH), Department of Education (MDE), Department of Human Services (DHS), and ECIC 3. Incorporated feedback from staff members at DCH, MDE, DHS, and ECIC 4. Added or removed from the list throughout the research process to ensure the list of programs accurately reflects current efforts (recommendations were approved by relevant agency staff) The final list of programs included in this inventory was truly a cross-agency effort. Partners Two education programs, Head Start and Early Head Start, are included in the education area, but are not administered by MDE. These local programs receive federal funding directly. 1 1 This inventory was compiled as part of a legislative requirement of the OGS. It was created with assistance from staff at the DCH, MDE, DHS, and ECIC. The OGS was also aided by a team of researchers from Public Sector Consultants (PSC) and the Citizens Research Council (CRC). Feedback The best effort was made to include the most current information in the inventory. To provide feedback or updates to the inventory, please contact Jeremy Reuter in the Office of Great Start at [email protected]. 2 Acronyms to Know Several acronyms are used throughout the inventory. Here are the most common. DCH Michigan Department of Community Health DHS Michigan Department of Human Services ECIC Early Childhood Investment Corporation K Kindergarten MDE Michigan Department of Education OGS Office of Great Start PreK Prekindergarten or preschool 3 How to Read the Early Childhood Program Inventory The Early Childhood Program Inventory includes profiles on 89 programs. What information is included in the profile? Below is a sample program profile with a description of each element in the profile. 1 2 3 4 5 6 1. Program name—This is the formal name of the program. If an acronym is commonly used, that is included here as well. 2. Agency—This is the agency that is responsible for administering the program. 3. Overview—Here we provide a brief description of the program and its goals. As often as possible, descriptions are quoted from publicly available materials that were produced by the programs themselves (such as websites or brochures). 4. Group Served—Some programs in the inventory serve children directly, others serve parents or caregivers directly, while others do not provide direct services and instead support the infrastructure of the early childhood system. More than one area may be highlighted. 5. Ages Served—This is a summary of the ages served by the program. If a program serves a population outside of children birth through age 8 and their families, that is included in this data point. Some programs will have an “N/A” here for “not applicable.” This means the program does not serve children, parents, or caregivers directly. 6. Eligibility Criteria—This is a summary of how a family, child, or grantee may qualify for a program. Some programs have extremely complex eligibility criteria. This is intended to be a brief overview and does not necessarily document the nuance of a program’s eligibility criteria. 4 7 8 9 10 7. Children Served—If a program directly serves a child or their family the number of children served is provided. If a program does not directly serve a child or their family, it is marked “N/A,” or not applicable. Where possible, the inventory provides the exact number of children served. However, it was often not possible to document the exact number of children served. In those cases, the OGS used the best estimates available. See the Appendix, Methodology: Program Inventory Estimates, for a full summary of how the number of children served was calculated for each program. Please note all data were reviewed by agency staff for accuracy. 8. Notes—To help readers understand the data points included in the program profiles, this section presents important notes about the data points. For a full methodology, please see the Appendix, Methodology: Program Inventory Estimates. 9. Dollars Invested Annually—To be included in the inventory, programs must receive federal and/or state funding. This data point shows how much funding comes from which source. Where possible, the inventory provides the exact investment from federal and state sources. However, it was not always possible to obtain exact funding data. In those cases, the OGS used the best estimates available. See the Appendix, Methodology: Program Inventory Estimates, for a full summary of how funding by source data was calculated. Please note all funding by source data was reviewed by agency staff for accuracy. 10. Early Childhood Outcome Addressed—The OGS was charged with four outcomes by Governor Rick Snyder. A star indicates that the program or the department reported that it addresses that particular outcome. This section is intended to help the reader consider programs that may be leveraged to improve certain outcomes. 5 Childhood Lead Poisoning Prevention Program DCH Overview "The Childhood Lead Poisoning Prevention Program helps provide education and outreach regarding lead hazards and the impact of lead poisoning. Prevention strategies are included in a state work plan for preventing childhood lead poisoning. Technical assistance is offered to health care professionals to support appropriate health services for children exposed to lead or with lead poisoning, including local health departments who may provide some direct services. Additionally, this program receives and analyzes the lead testing results data from across the state for use in monitoring the extent to which children are still lead poisoned and to inform policy and practice relative to the continuing need to prevent lead poisoning and to intervene as early as possible when it is detected." 1 Who Is Served? Group Served: INFRASTRUCTURE (no direct service) Ages Served: Birth–6, and pregnant women 2 Eligibility Criteria: All children in Michigan can be tested for lead poisoning. It is particularly stressed that this be done in communities where environmental and housing risks for lead poisoning are highest. Testing is done as part of well-child primary care visits, the WIC program and through many health departments. Medicaid health plans are required to do testing as part of well child care. 3 Children Served Birth–Preschool Age K–Grade 3 N/A N/A Total (Birth–Grade 3) N/A Dollars Invested Annually Federal Investment State Investment $860,950 $114,900 Total Investment $978,850 Note(s): Data were provided by the DCH and are from FY 2012. Investments here support: education and outreach, technical assistance, surveillance, prevention, quality assurance, and evaluation. The costs for screening and testing for children covered by Medicaid are included elsewhere in this report. Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade E-mail from DCH staff, 3/22/13. Phone call with DCH staff, 10/8/12. 3 E-mail from DCH staff, 3/22/13. 1 2 6 – Children with Serious Emotional Disturbance Home & Community Based Services Waiver DCH Overview The Serious Emotional Disturbance Waiver (SEDW) "is currently available in a limited number of counties and Community Mental Health Services Programs (CMHSPs). "The Children's SEDW provides services that are enhancements or additions to Medicaid State Plan coverage for children up to age 20 with SED, who are enrolled in the SEDW prior to their 18th birthday. The MDCH operates the SEDW through contracts with the CMHSPs. The SEDW is a fee-for-service program administered by the CMHSP in partnership with other community agencies. The MDCH has a partnership with the Michigan Department of Human Services (MDHS) to serve children in MDHS foster care in eight of the SEDW counties. "The SEDW enables Medicaid to fund necessary home and community-based services for children with serious emotional disturbance who meet the criteria for admission to the state inpatient psychiatric hospital (Hawthorn Center) and are at risk of hospitalization without waiver services. The CMHSP is responsible for assessment of potential waiver candidates." 1 Who Is Served? Group Served: CHILDREN Ages Served: Birth–20 Eligibility Criteria: "To be eligible for this waiver, the child must: [1] meet current MDCH contract criteria for, and be at risk of, hospitalization in a state psychiatric hospital (Hawthorn Center); [2] demonstrate serious functional limitations that impair his/her ability to function in the community...; [3] be under the age of 18 when approved for the SEDW; [4] be financially eligible for Medicaid when viewed as a family of one (i.e., when parental income and assets are waived); and [5] be in need of and receive at least one waiver service per month." 2 Children Served Birth–Preschool Age K–Grade 3 7 29 Total (Birth–Grade 3) 36 Note(s): Data were provided by the DCH and are from FY 2011. Dollars Invested Annually Federal Investment State Investment $441,881 $229,737 Total Investment $671,548 Note(s): Data were provided by the DCH and are from FY 2011. 1Michigan Department of Community Health, Children with Serious Emotional Disturbances Waiver website, www.michigan.gov/mdch/0,4612,7-132-2941_4868_7145-168285--,00.html (accessed 2/3/13). 2 Ibid. 7 • Children with Serious Emotional Disturbance Home & Community Based Services Waiver • Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade 8 – Children's Special Health Care Services (CSHCS) DCH Overview Children's Special Health Care Services (CSHCS) "strives to enable individuals with special health care needs to have improved health outcomes and an enhanced quality of life through the appropriate use of the CSHCS system of care... CSHCS helps persons with chronic health problems by providing: [1] coverage and referral for specialty services based on the person's health problems; [2] family centered services to support [families] in [their] role as primary caretaker of [their] child, [3] community based services to help [families] care for [their] child at home and maintain normal routines, [4] culturally competent services which demonstrate awareness of cultural differences, and [5] coordinated services to pull together the services of many different providers who work within different agencies." 1 Who Is Served? Group Served: CHILDREN Ages Served: "Children must have a qualifying medical condition and be 20 years old or under. Persons 21 and older with cystic fibrosis or certain hereditary blood coagulation disorders commonly known as hemophilia may also qualify." 2 Eligibility Criteria: "Several factors decide whether a person is eligible for CSHCS: (1) Residency: Must be a Michigan resident; (2) Citizenship: Must be a US citizen or documented non-citizen admitted for permanent residence or a non-citizen legally admitted migrant farm worker (i.e., seasonal agricultural worker); (3) Age: Children must have a qualifying medical condition and be 20 years old or under. Persons 21 and older with cystic fibrosis or certain hereditary blood coagulation disorders commonly known as hemophilia may also qualify; (4) Qualifying Medical condition: A MDCH medical consultant reviews each case to determine eligibility. Severity and chronicity of the person's condition as well as the need for treatment by a specialist are factors considered. More than 2,500 diagnoses are potentially eligible." 3 Children Served Birth–Preschool Age K–Grade 3 3004 2420 Total (Birth–Grade 3) 5424 Note(s): Data were provided by the DCH and are from FY 2012. Dollars Invested Annually Federal Investment State Investment $8,490,018 $6,342,993 Total Investment $14,833,011 Note(s): Data were provided by the DCH and are from FY 2012. 1Michigan Department of Community Health, Children’s Special Health Care Services website, www.michigan.gov/mdch/0,4612,7132-2942_4911_35698-15087--,00.html (accessed 2/3/13). 2 Ibid. 3 Ibid. 9 • Children's Special Health Care Services (CSHCS) • Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade – 10 – Children's Waiver Program (CWP) DCH Overview The Children's Waiver Program (CWP) “provides Medicaid funded home and community-based services to children (under age 18) who are eligible for, and at risk of, placement into an Intermediate Care Facility for the Mentally Retarded (ICF/MR). Children with developmental disabilities and who have challenging behaviors and/or complex medical needs are served through this program. "The CWP enables children to remain in their parent's home or return to their parent's home from out-ofhome placements regardless of their parent's income. The waiver services include: family training; non-family training; speciality services (e.g. music, recreation, art and message therapy); community living supports; transportation; respite care; environmental accessibility adaptations, and speciality medical equipment. "The program has a capacity to serve 464 children statewide. Although the program is at capacity, a waiting list is maintained, using a priority rating system to add new children to the program when openings occur." 1 Who Is Served? Group Served: CHILDREN Ages Served: Birth–18 Eligibility Criteria: Eligible children must be: under the age of 18; covered by Medicaid; and eligible for, and at risk of, placement into an Intermediate Care Facility for the Mentally Retarded (ICF/MR).2 Children Served Birth–Preschool Age K–Grade 3 1 8 Total (Birth–Grade 3) 9 Note(s): Data were provided by the DCH and are from FY 2011. Dollars Invested Annually Federal Investment State Investment $289,367 $150,467 Total Investment $439,834 Note(s): Data were provided by the DCH and are from FY 2011. Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade – Michigan Department of Community Health, Children’s Waiver Program website, www.michigan.gov/mdch/0,4612,7-1322941_4868_7145-14669--,00.html (accessed 2/3/13). 2 Ibid. 1 11 Dental Services: Healthy Kids Dental DCH Overview Healthy Kids Dental (HKD) is the contracted Medicaid waiver dental plan between the Michigan Department of Community Health (MDCH) and Delta Dental. HKD is a dental benefit program for Medicaid eligible beneficiaries under the age of 21 who reside in selected eligible counties. Dental services such as X-rays, cleanings, fillings, root canals, tooth extractions and dentures are covered benefits. 1 Healthy Kids Dental enrollees must receive treatment from a dentist who participates in Delta Dental’s Healthy Kids Dental program. Approximately 80% of Michigan dentists are Delta Dental providers and participating dentists agree to accept Delta Dental’s payment for covered services as payment in full and do not charge the enrollee. If a service is not covered by Healthy Kids Dental the dentist must discuss the fees and payment plan with the enrollee or responsible party before treatment is rendered. 2 Who Is Served? Group Served: CHILDREN Ages Served: Birth–21 3 Eligibility Criteria: Available to Medicaid beneficiaries under the age of 21 who reside in selected eligible counties. 4 Children Served Birth–Preschool Age K–Grade 3 123,055 92,290 Total (Birth–Grade 3) 215,345 Note(s): Data were provided by the DCH and are from FY 2011. Dollars Invested Annually Federal Investment State Investment $22,954,887 $9,267,021 Total Investment $32,221,908 Note(s): Data were provided by the DCH and are from FY 2011. Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade – Delta Dental, Healthy Kids Dental improves oral health of children enrolled in Medicaid (HKD Fact Sheet v2.5), www.deltadentalmi.com/MediaLibraries/Global/documents/HKD-Fact-Sheet.pdf (accessed 2/3/13). 2 Delta Dental, How Healthy Kids Dental Works website, www.deltadentalmi.com/Individuals/Individual-Plans/Healthy-KidsDental-and-MIChild/Healthy-Kids-Dental/How-Healthy-Kids-Dental-Works.aspx (accessed 2/3/13). 3 HKD Fact Sheet v.2.5. 4 Ibid. 1 12 Dental Services: SEAL! Michigan Program DCH Overview The SEAL! Michigan dental sealant program is a school-based program designed to provide eligible students with dental sealants on their first and second permanent molars to prevent tooth decay. SEAL! Michigan operates through a competitive grant process that currently provides nine grantees with funds to operate a school-based program. 1 Who Is Served? Group Served: CHILDREN Ages Served: Grades 1, 2, 6, and 7 Eligibility Criteria: SEAL! Michigan grantees must target schools in which 50% or more of the students participate in the Free and Reduced Lunch program, or provide justification if less than 50% of a school’s students are participants (e.g., Health Professional Shortage Area [HPSA], non-Healthy Kids county). Grantees serve all students in grades 1, 2, 6, or 7 who return a positive permission slip. Grantees must focus on schools in counties that are not served by Healthy Kids Dental. 2 Children Served Birth–Preschool Age K–Grade 3 0 2,105 Total (Birth–Grade 3) 2,105 Note(s): Data were provided by the DCH and are from the FY 2010-2011 school year. Dollars Invested Annually Federal Investment State Investment $464,862 $92,244 Total Investment $557,106 Note(s): Data were provided by the DCH and are from FY 2012. Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade – Michigan Department of Community Health, SEAL Michigan! School-based Dental Sealant Program (ASTDD [Association of State & Territorial Dental Directors]: N.p., December 27, 2010), www.michigan.gov/documents/mdch/SEAL_Best_Practice_JM_Short_369419_7.pdf (accessed 2/3/13). 2 Ibid. 1 13 Early Childhood Comprehensive Systems Grant DCH (and ECIC) Overview An Early Childhood Comprehensive Systems (ECCS) Grant was first awarded to Michigan in 2004 to develop and subsequently implement a comprehensive early childhood system. The ECCS Grant supported the original Great Start Blueprint that led to the creation of the Early Childhood Investment Corporation (ECIC) and the Great Start Collaboratives/Parent Coalitions. Currently, the ECCS Grant continues to support infrastructure building efforts in the early childhood system like the Great Start Systems Team which brings together leaders from publicly funded early childhood programs to work on issues of shared concern in system building. 1 Who Is Served? Group Served: INFRASTRUCTURE (no direct service) Ages Served: N/A Eligibility Criteria: N/A Children Served Birth–Preschool Age K–Grade 3 N/A N/A Total (Birth–Grade 3) N/A Dollars Invested Annually Federal Investment State Investment $200,171 $0 Total Investment $200,171 Note(s): Data were provided by the DCH and are from FY 2012. Early Childhood Outcome Addressed Children are… 1 Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade E-mail from ECIC staff, 10/24/12, and Early Childhood Comprensive System Grant FY 2011 Progress Report. 14 Early Hearing Detection and Intervention (EHDI) DCH Overview The Early Hearing Detection and Intervention (EHDI) Program "works with hospitals and clinics to identify newborns and infants who have a hearing loss. While the hospitals do the hearing screens on the newborns, the EHDI program is working with community providers and developing information for families. "The goals for the EHDI Program are called ‘1-3-6’. (1) All infants are screened for hearing loss no later than 1 month of age, preferably before hospital discharge... (3) All infants who do not pass the screening will have a diagnostic audiologic evaluation no later than 3 months of age. (6) All infants identified with a hearing loss receive appropriate early intervention services no later than 6 months of age." 1 Guide by Your Side (GBYS) "is a program for families with infants and young children who are deaf or hard of hearing. GBYS gives families who recently learned of their child's hearing loss an opportunity to meet with another parent of a deaf or hard of hearing child." 2 Who Is Served? Group Served: CHILDREN Ages Served: Birth–3 Eligibility Criteria: All children are eligible. Children Served Birth–Preschool Age K–Grade 3 107,736 0 Total (Birth–Grade 3) 107,736 Note(s): Data were provided by the DCH and are from FY 2012. Dollars Invested Annually Federal Investment State Investment $511,682 $367,154 Total Investment $878,836 Note(s): Data were provided by the DCH and are from FY 2012. Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade – Michigan Department of Community Health, Michigan Early Hearing Detection and Intervention Program website, www.michigan.gov/ehdi (accessed 2/3/13). 2 Michigan Department of Community Health, Guide By Your Side Program website www.michigan.gov/ mdch/0,4612,7-132-2942_4911_21429-120286--,00.html (accessed 2/3/13). 1 15 Family Center for Children and Youth with Special Health Care Needs DCH Overview The Center is a section of the DCH Children’s Special Health Care Services. Its primary purpose “is to help shape CSHCS policies and procedures and to help families navigate the CSHCS system. Through its Family Support Network of Michigan, the Center provides emotional support and information statewide to families of children with special health care needs. The Center is also the coordinating partner of Michigan's Familyto-Family Health Education and Information Center." 1 Services include: “(1) answering the CSHCS Family Phone Line; (2) distributing "Family Linkages," a newsletter of interest to families; (3) coordinating Relatively Speaking, a biennial conference uniquely for siblings; (4) directing the Family Support Network of Michigan; (5) administering scholarships to enable Michigan parents to attend conferences; (6) leading training & presentations related to children with special needs and to parent-professional collaboration; (7) coordinating Michigan's Family-to-Family Health Information and Education Center; (8) assisting youth with special needs and their families in the transition to adulthood." 2 Who Is Served? Group Served: PARENTS/CAREGIVERS Ages Served: Families with children with special health care needs. 3 Eligibility Criteria: All families of children with special health care needs are eligible. (Their children do not necessarily need to be enrolled in CSHCS.) 4 Children Served Birth–Preschool Age K–Grade 3 N/A N/A Total (Birth–Grade 3) N/A Dollars Invested Annually Federal Investment State Investment $46,362 $130,387 Total Investment $176,749 Note(s): The total investment in children birth–grade 3 was estimated using total program spending (provided by the DCH) and population data. Data are from FY 2012. Michigan Department of Community Health, Family Center for Children and Youth with Special Health Care Needs website, www.michigan.gov/mdch/0,4612,7-132-2942_4911_35698-56603--,00.html (accessed 2/3/13). 2 Ibid. 3 Ibid. 4 Ibid. 1 16 Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade – 17 – Family Planning: Plan First! DCH Overview Plan First! covers family planning services, which are "defined as any medically approved means, including diagnostic evaluation, pharmaceuticals, and supplies, for voluntarily preventing or delaying pregnancy. There are no patient co-pays for family planning services, supplies or pharmaceuticals." 1 Who Is Served? Group Served: PARENTS/CAREGIVERS Ages Served: Women ages 19–44 2 .Eligibility Criteria: "MDCH offers family planning services to women: 19 through 44 years of age; who are not currently Medicaid eligible; who have family income at or below 185% of the federal poverty level (FPL); who reside in Michigan; and meet Medicaid citizenship requirements" 3 Children Served Birth–Preschool Age K–Grade 3 N/A N/A Total (Birth–Grade 3) N/A Dollars Invested Annually Federal Investment State Investment $7,398,932 $934,365 Total Investment $8,333,297 Note(s): Data were provided by the DCH and are from FY 2012. Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade – 1 Michigan Department of Community Health, Family Planning, Plan First! website, www.michigan.gov/ mdch/0,1607,7-132--146295--,00.html (accessed 2/3/13). 2 Ibid. 3 Ibid. 18 – Family Planning: Title X DCH Overview "The Michigan Family Planning Program makes available general reproductive health assessment, comprehensive contraceptive services, related health education and counseling, and referrals as needed to every citizen of the state. The program's strong educational and counseling component helps to reduce health risks and promote healthy behaviors. "While services are available to anyone, the primary target population is low-income women and men. Individuals with income levels at or below poverty can receive the full array of program services at no cost. No one is denied services because of inability to pay. Through contracts with 36 agencies, a network of local programs assures availability of the services statewide." 1 Who Is Served? Group Served: PARENTS/CAREGIVERS Ages Served: Varies by funded program Eligibility Criteria: Varies by funded program, but all programs focus primarily on low-income women and men. 2 Children Served Birth–Preschool Age K–Grade 3 N/A N/A Total (Birth–Grade 3) N/A Dollars Invested Annually Federal Investment State Investment $8,105,309 $279,800 Total Investment $8,385,109 Note(s): Data were provided by the DCH and are from FY 2012. Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade – – Michigan Department of Community Health, Family Planning website, http://www.michigan.gov/mdch/0,1607,7-1322942_4911_4912_6216---,00.html (accessed 2/3/13). 2 Ibid. 1 19 Family Support Subsidy (FSS) Program DCH Overview "The Family Support Subsidy (FSS) Program provides financial assistance to families that include a child with severe developmental disabilities. The intent is to help make it possible for children with developmental disabilities to remain with or return to their birth or adoptive families. The program provides a monthly payment of $222.11. Families are able to use this money for special expenses incurred while caring for their child." 1 Who Is Served? Group Served: PARENTS/CAREGIVERS Ages Served: Families with children birth–18 Eligibility Criteria: "Qualifications: Child must be younger than 18 years of age and live in the family home in Michigan. The family's most recently filed Michigan income tax form must show a taxable income of $60,000 or less. The Multidisciplinary Evaluation Team of the local public or intermediate school district must recommend the child for an educational eligibility category of severe cognitive impairment, severe multiple impairment or autism spectrum disorder. Children with autism spectrum disorder must be receiving special education services in a program for students with autism spectrum disorder or in a program for students with severe cognitive impairment or severe multiple impairments." 2 Children Served Birth–Preschool Age K–Grade 3 1,706 1,467 Total (Birth–Grade 3) 3,173 Note(s): Data were provided by the DCH and are from FY 2012. Dollars Invested Annually Federal Investment State Investment $8,629,970 $0 Total Investment $8,629,970 Note(s): Data were provided by the DCH and are from FY 2012. Michigan Department of Community Health, Family Support Subsidy Program website, www.michigan.gov/mdch/0,4612,7-1322941_4868_7145-14670--,00.html (accessed 2/3/13). 2 Ibid. 1 20 Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade – 21 – Fetal Alcohol Spectrum Disorder (FASD) DCH Overview The Fetal Alcohol Spectrum Disorder (FASD) program has three main components: (1) Five FASD Diagnostic Centers of Excellence to evaluate and diagnose children, birth to 18 years of age, providing an initial plan of care and referral to community-based resources for intervention; (2) Eight community-based project minigrants to provide integration with existing early childhood programs to incorporate FASD screening, outreach, education and supportive services to children and families; (3) FASD education is provided by medical and allied health professionals... "The overall goals of the state public health program are to: reduce the number of children born in Michigan with FAS and FASD; provide early childhood evaluation and diagnosis; and assist those children & their families who are affected with needed intervention services and support for optimum health and development." 1 Who Is Served? Group Served: CHILDREN PARENTS/CAREGIVERS Ages Served: Children from birth–18 and their families; Women ages 15–44 years of age 2 Eligibility Criteria: "Children affected by prenatal alcohol exposure and their families, birth to 18 years. Women of reproductive age who use alcohol and are sexually active and report not using reliable method of contraception , 15 to 44 years of age." 3 Children Served Birth–Preschool Age K–Grade 3 350 353 Total (Birth–Grade 3) 703 Note(s): Data were provided by the DCH and are from FY 2010-11. Dollars Invested Annually Federal Investment State Investment $158,898 $0 Total Investment $158,898 Note(s): Data were provided by the DCH and are from FY 2012. Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade E-mail from DCH staff, 10/22/12. Ibid. 3 Ibid. 1 2 22 – Fetal-Infant Mortality Review (FIMR) DCH Overview "Fetal-Infant Mortality Review (FIMR) is a process of identification and analysis of factors that contribute to fetal and infant death through chart review and interview of individual cases. FIMR complements other studies of infant death but uses an approach that is community-based and designed to bring together local health providers, consumers, advocates and leaders. FIMR identifies strengths and areas for improvements in overall service systems and community resources for women, children and families. FIMR also provides direction towards the development of new policies to safeguard them. Fetal and infant mortality review has two goals: (1) to describe significant social, economic, cultural, safety, health and systems factors that contribute to mortality; and (2) to design and implement community-based action plans founded on the information obtained from the reviews." 1 Who Is Served? Group Served: INFRASTRUCTURE (no direct service) Ages Served: N/A Eligibility Criteria: N/A Children Served Birth–Preschool Age K–Grade 3 N/A N/A Total (Birth–Grade 3) N/A Dollars Invested Annually Federal Investment State Investment $213,149 $0 Total Investment $213,149 Note(s): Data were provided by the DCH and are from FY 2012. Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade – 1 Michigan Department of Community Health, Fetal-Infant Mortality Review website: www.michigan.gov/ mdch/0,4612,7-132-2942_4911_4912-12563--,00.html (accessed 2/4/13). 23 – Hearing Screening DCH Overview "The Hearing Screening Program supports the screening of children by the Local Health Department at least once between the ages of 3 and 5 years and every other year between the ages of 5 and 10 years... Many children are unaware that they hear differently from their peers. Early identification of hearing problems can alleviate speech/language delays, social/emotional delays, academic delays and psychological delays. "The program is a 3 stage process that involves a preliminary screening (Stage I), an Intermediate Sweep and/or audiogram (Stage II) and the Medical Referral stage (Stage III). About 5% of all children screened require a medical referral. "The goals of the hearing screening program are to: identify hearing loss in children as early as possible; reduce preventable hearing loss and ear disease by providing assistance in obtaining prompt medical care for children at-risk for hearing loss; identify hearing impaired children so that their educational, medical and social needs may be defined; and to help parents and school personnel to understand the child's needs related to the hearing loss." 1 Who Is Served? Group Served: CHILDREN Ages Served: Ages 3–5, and Grades K, 2, and 4 2 Eligibility Criteria: Preschool-aged children: All children are eligible to be screened at least once between the ages of 3 and 5. 3 School-aged children: "Screening is available to all children in Michigan, and are conducted in public, private, and charter schools as well as during health departmentbased clinics." 4 Children Served Birth–Preschool Age K–Grade 3 100,186 205,814 Total (Birth–Grade 3) 306,000 Note(s): The total number of children served was provided by the DCH. The age split was unknown, so it was estimated based on the grades served by this program. Data are for FY 2012. Dollars Invested Annually Federal Investment State Investment $0 $1,890,940 Total Investment $1,890,940 Note(s): Total dollars were provided by the DCH and were apportioned by age using the estimates of the number of children served by age. Data are for FY 2012. 1 Michigan Department of Community Health, Michigan Hearing and Vision Screening Programs, Hearing Screening website, www.mihearingvision.com/hearing.html (accessed 2/4/13). 2 Ibid. 3 Ibid. 4 Ibid. 24 • Hearing Screening • Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade 25 – Home-Based Services Intervention DCH Overview "The Mental Health Home-Based Services intervention combines the use of individual therapy, family therapy, case-management and family collateral contacts as an approach to reducing reliance on placement in substitute care settings such as hospitals or residential treatment centers. Services are primarily provided in the family home or community and may vary in intensity, application and duration depending on the needs of the family. "Home-based services are designed through a planning process that mandates the active participation of the family as members of the home-based services team. The resulting plan of service becomes the on-going guideline for service delivery. The plan of service is a comprehensive plan which identifies family strengths and needs, determines appropriate interventions and identifies resources developed in collaboration with family members and other agencies. Home-basred services are accessed through local Community Mental Health Services Programs (CMHSPs). The Division of Mental Health Services to Children and Families certifies home-based services programs operated through CMHSPs and provides trCTFaining and technical assistance to home-based services staff and programs." 1 Who Is Served? Group Served: CHILDREN PARENTS/CAREGIVERS Ages Served: Children birth–18 and their families Eligibility Criteria: These services are provided to Medicaid-eligible individuals in families with multiple service needs who require access to a continuum of mental health services. The following dimensions are considered for home-based services: diagnosis, degree of disability/functional impairment, and duration/history. 2 Children Served Birth–Preschool Age K–Grade 3 1,079 943 Total (Birth–Grade 3) 2,022 Note(s): Data were provided by the DCH and are from FY 2011. Dollars Invested Annually Federal Investment State Investment $6,191,236 $3,219,368 Total Investment $9,410,604 Note(s): Data were provided by the DCH and are from FY 2011. Michigan Department of Community Health, Home-Based Services website, www.michigan.gov/mdch/ 0,4612,7-132-2941_4868_7145-14675--,00.html (accessed 2/4/13). 2 Michigan Department of Community Health. (2013). Medicaid Provider Manual (p. 824-827). http://www.mdch.state.mi.us/dchmedicaid/manuals/MedicaidProviderManual.pdf (accessed 4/2/13). 1 26 •Home-Based Services Intervention • Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade 27 – Home Visiting Initiative–MIECHV DCH Overview The Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program is a five-year federal grant program that funds a cross-agency home visiting initiative. The program has three objectives: (1) expand evidence-based local home visiting services in communities with the highest concentration of risk; (2) build a home visiting infrastructure at the state and local level; and (3) integrate home visiting into the early childhood system. The goal of this federal initiative is to assess whether prevention-focused home visiting programs can improve health outcomes and reduce health care costs, as part of a community integrated health care system. The MIECHV objectives are supported by PA 291 of 2012, which requires the use of evidence-based or promising home visiting models. Data about the array of home visiting programs in place across Michigan are still being collected; this will help guide state and local infrastructure building efforts, and help develop a continuum of effective, high-quality home visiting models. The state partners are studying means to sustain the system and services built under MIECHV after federal funding ends. 1 Who Is Served? Group Served: CHILDREN PARENTS/CAREGIVERS Ages Served: Families with young children from birth–5 2 INFRASTRUCTURE (no direct service) Eligibility Criteria: Families and Children: Varies by funded program. Programs: Funding to local communities for direct service expansion is based on a statewide needs assessment. Communities that were selected to expand local home visiting services were identified by highest "concentration of risk." Risk factors to determine eligible communities include premature birth, low-birth-weight infants, infant mortality, poverty, crime, domestic violence, school dropout rates, substance abuse, unemployment, and child maltreatment. 3 Children Served Birth–Preschool Age K–Grade 3 TBD TBD Total (Birth–Grade 3) TBD Note(s): Data about the system of home visiting services in Michigan are not yet available. Public Act 291 of 2012 requires that home visiting data be reported in FY 2014. Dollars Invested Annually Federal Investment State Investment $2,266,750 $0 Total Investment $2,266,750 Note(s): Data were provided by the DCH and are from FY 2011. Annual funding will vary over the five-year project period. Phone call with DCH staff, 10/16/12. E-mail from DCH staff, 11/5/12. 3 Michigan Department of Community Health (2010), Michigan Maternal, Infant and Early Childhood Home Visiting Program Statewide Needs Assessment website, http://www.michigan.gov/documents/mdch/Statewide_Needs_Assessment_Narrative_and_Appendices_335084_7.pdf (accessed 3-15-13). 1 2 28 • Home Visiting Initiative – MIECHV • Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade 29 – Immunization Program DCH Overview The Immunization Program's mission is to minimize and prevent the occurrence of vaccine-preventable diseases in Michigan. The Immunization Program is responsible for decreasing the incidence of vaccine preventable disease, increasing immunization opportunities for Michigan citizens, and leading several immunization-related programs including the following: the Vaccines for Children (VFC) Program that gives childhood vaccines to eligible children; 1 the Perinatal Hepatitis B program which provides direct case management to infants born to mothers who are surface antigen positive to hepatitis B; 2 and the Michigan Care Improvement Registry (MCIR), a computerized registry of immunization records for people across Michigan. 3 The DCH Immunization Division, in partnership with local health departments, has extensive immunization education programs to ensure that health care providers and the public are properly informed about vaccinations. "The Immunization program works to break down identified barriers to immunization, avoiding missed opportunities in those individuals who need immunizations, increasing access to immunization, and raising coverage levels in all Michigan populations... The Immunization Program works closely with WIC and Medicaid partners through a state based workgroup, and at the local level. The program maintains external relationships through Michigan Advisory Committee on Immunizations (MACI), Flu Advisory Board (FAB), and the Alliance for Immunizations in Michigan Coalition (AIM)." 4 Who Is Served? Group Served: CHILDREN INFRASTRUCTURE (no direct service) Ages Served: VFC program: Children under age 19 Eligibility Criteria: MCIR is a statewide registry. The Public Health Code requires that all vaccines administered to children be entered into the registry. 5 "VFC is a Federal program providing all [Advisory Committee on Immunization Practices [ACIP] recommended vaccines to qualifying children less than 19 years of age who are eligible if: 1. Medicaid eligible or enrolled 2. Uninsured 3. American Indian/Alaska Native 4. Underinsured" 6 Children Served Birth–Preschool Age K–Grade 3 425,272 185,839 Total (Birth–Grade 3) 611,111 Note(s): Data were provided by the DCH and are from FY 2012. 1 Michigan Department of Community Health, Michigan Vaccines for Children Program, Vaccines for Your Child (Lansing, Mich.: MDCH, November 2012), www.michigan.gov/documents/after_9_VFC_brochure_ 128629_7.pdf (accessed 2/4/13). 2 E-mail from DCH staff, 11/9/12. 3 Michigan Public Health Institute, Michigan Care Improvement Registry, Public Information website, www.mcir.org/publiccontent.html (accessed 2/4/13). 4 E-mail from DCH staff, 11/9/12. 5 Ibid. 6 Ibid. 30 Dollars Invested Annually Federal Investment State Investment $10,570,384 $4,168,382 Total Investment $14,738,766 Note(s): Data were provided by the DCH and are from FY 2012. While the children above are served by the programs mentioned here, funding for vaccinations comes from a different source ($87 million in federal funding), and is not included in this total. Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade 31 – Infant Death Prevention and Bereavement DCH Overview "The Infant Death Prevention and Bereavement program, in FY12, included the provision of both risk reduction services to reduce accidental infant sleep-related deaths (safe sleep), and education, training, promotion and coordination of bereavement counseling home visits. The bereavement counseling component provides grief support, by local health department staff, to families experiencing a sudden and unexpected death of a child under the age of one, excluding deaths by trauma (fire, drowning, and homicide). For communities with an active Fetal Infant Mortality Review (FIMR) team, services can be provided to families experiencing any type of infant and perinatal death." 1 Who Is Served? Group Served: PARENTS/CAREGIVERS INFRASTRUCTURE (no direct service) Ages Served: Bereavement Services: Families with children under age 1 Prevention Services: All ages 2 Eligibility Criteria: Bereavement Services: All families that have experienced a sudden and unexpected death of a child under age 1, excluding deaths by trauma. Prevention Services: Available to the general public. 3 Children Served Birth–Preschool Age K–Grade 3 N/A N/A Total (Birth–Grade 3) N/A Dollars Invested Annually Federal Investment State Investment $172,046 $0 Total Investment $172,046 Note(s): Data were provided by the DCH and are from FY 2012. Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade – E-mail from DCH staff, 11/1/12. Ibid. 3 Ibid. 1 2 32 – Local Maternal & Child Health (LMCH) Program DCH Overview Through the Local Maternal & Child Health (LMCH) Program flexible funds from the Federal Title V/Maternal and Child Health Block Grant are made available to local health departments to address locally identified health needs of women and children in their jurisdictions. Each local health department uses a defined needs assessment process to determine and identify their maternal and child health (MCH) needs and also identifies which of the 18 priority MCH measures established by the MCH Bureau of the Department of Health and Human Services and 10 measures established by DCH are addressed in the plan. 1 The program's objectives are to: (1) provide mothers and children (in particular those with low income or with limited availability of health services) access to quality maternal and child health services; (2) assist local health departments in providing MCH services based on needs of the community by funding or filling in gaps for funding for programs; and (3) reduce infant mortality and to promote the health of mothers and infants as defined by individual local health departments based on a needs assessment.2 Who Is Served? Group Served: CHILDREN PARENTS/CAREGIVERS Ages Served: Women ages 20–44 and children from birth–19 Eligibility Criteria: Each local health department uses a defined needs assessment process to determine/identify their MCH needs. 3 Children Served Birth–Preschool Age K–Grade 3 21,445 15,548 Total (Birth–Grade 3) 36,993 Note(s): The number of children served was estimated using total program enrollment and the number of children below 150% of the federal poverty level. Data are from FY 2011. Dollars Invested Annually Federal Investment State Investment $2,551,030 $0 Total Investment $2,551,030 Note(s): The total investment in children birth–grade 3 was estimated using the number of children served (estimated above) and assumes that investment split proportionally. Data are from FY 2011. 1 Comprehensive Agreement: http://egrams-mi.com/dch/user/categoryprograms.aspx?CategoryCode= COMP&CatDesc=Comprehensive%20Agreement. (accessed 2/15/13). 2 Ibid. 3 E-mail from DCH staff, 10/16/12. 33 Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade 34 – Maternal & Child Health (MCH) Medicaid Outreach DCH Overview Medicaid Administrative Outreach includes those functions or activities that are performed to inform eligible or potentially eligible individuals about Medicaid and how to access Medicaid programs. There are seven activity categories: (1) Medicaid outreach and public awareness; (2) facilitating Medicaid eligibility determination; (3) program planning, policy development, and coordination; (4) referral, coordination and monitoring of services; (5) Medicaid-specific training on outreach eligibility and services; (6) arranging for Medicaid-related transportation; and (7) arranging for provision of Medicaid-related translation. 1 Who Is Served? Group Served: INFRASTRUCTURE (no direct service) Ages Served: N/A Eligibility Criteria: N/A Children Served Birth–Preschool Age K–Grade 3 N/A N/A Total (Birth–Grade 3) N/A Note(s): N/A means “not available” because data are not collected on service to individuals. Dollars Invested Annually Federal Investment State Investment $2,357,255 $0 Total Investment $2,357,255 Note(s): Data were provided by the DCH and are from FY 2012. Early Childhood Outcome Addressed Children are… 1 Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade E-mail from DCH staff,10/16/12. 35 – Maternal Infant Health Program (MIHP) DCH Overview The Maternal Infant Health Program (MIHP) "is a Home Visiting program for pregnant women and infants with Medicaid insurance. MIHP provides support service to women and to parents so they have healthy pregnancies, good birth outcomes, and healthy infants." 1 Services include: maternal and infant health and psychosocial assessments; development of beneficiary care plans; coordination of MIHP services with the beneficiary's medical care provider; home or office visits provided with interventions based on the beneficiary's plan of care; transportation services if needed; referrals to local community services and childbirth education or parenting classes." 2 Who Is Served? Group Served: CHILDREN PARENTS/CAREGIVERS Ages Served: Pregnant women and infants Eligibility Criteria: "MIHP is a program for all Michigan women with Medicaid health insurance who are pregnant and all infants with Medicaid. It is a benefit of their insurance." 3 Children Served Birth–Preschool Age K–Grade 3 21,000 0 Total (Birth–Grade 3) 21,000 Note(s): Data were provided by the DCH and are from FY 2012. Dollars Invested Annually Federal Investment State Investment $7,057,433 $2,352,478 Total Investment $9,409,911 Note(s): Data were provided by the DCH and are from FY 2012. The split between federal and state investment was not known, so the estimate assumes that these dollars split the same as the overall Medicaid program. Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade – 1 Michigan Department of Community Health, MIHP: Maternal Infant Health Program (Lansing, Mich.: MDCH, September 2012), www.michigan.gov/documents/mdch/MIHP_Beneficiaries_Brochure-DCH-1416_393191_7.pdf (accessed 2/4/13). 2 Michigan Department of Community Health, Maternal Infant Health Program website, www.michigan.gov/mdch/0,4612,7-1322943_4672-106183--,00.html (accessed 2/4/13). 3 Ibid. 36 Medicaid Health Care DCH Overview “Medicaid provides medical assistance for Michigan’s low-income residents who meet certain eligibility criteria as defined by both [the Centers for Medicare and Medicaid Services] CMS and the State. These are identified as people who are either ‘categorically needy’ or ‘medically needy.’ The categorically needy group generally includes infants, children, and pregnant women in low-income families, low-income elderly, blind and disabled persons, and certain low-income Medicare beneficiaries. “The medically needy group includes people who have substantial medical costs but their income is too high for them to qualify for Medicaid. They must ‘spend down’ their income until it reaches a level at which they meet Medicaid’s income and asset requirements.”1 Who Is Served? Group Served: CHILDREN Ages Served: Birth–19 and pregnant women Eligibility Criteria: Eligible applicants must: (1) be under age 19, or pregnant; (2) have a Social Security Number (or have applied for one); (3) live in Michigan, even for a short time; (4) be a U.S. citizen or a qualified immigrant; and (5) meet monthly family income limits (185% of the federal poverty level for infants under age 1 and pregnant women, 150% of the federal poverty level for children ages 1–19) 2 Children Served Birth–Preschool Age K–Grade 3 409,201 295,673 Total (Birth–Grade 3) 704,874 Note(s): Data were provided by the DCH and are from FY 2011. Dollars Invested Annually Federal Investment State Investment $1,184,913,104 $387,987,511 Total Investment $1,572,900,615 Note(s): Data were provided by the DCH and are from FY 2011. Early Childhood Outcome Addressed Children are… 1 2 Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade Michigan Department of Community Health. (2012). 2012 DCH Annual Report. E-mail from DCH staff, 3/22/12. 37 – Michigan Maternal Mortality Surveillance Program DCH Overview The Michigan Maternal Mortality Surveillance Program conducts reviews of all deaths of women while pregnant or within one year of termination of pregnancy, regardless of the cause. The program systematically collects data, analyzes it, disseminates the findings, and works to develop prevention strategies. The program's goal is "to identify medical, systems and patient issues that can then be addressed to improve women’s health." 1 Who Is Served? Group Served: INFRASTRUCTURE (no direct service) Ages Served: N/A Eligibility Criteria: All deaths of women while pregnant or within one year of termination of pregnancy, regardless of the cause. 2 Children Served Birth–Preschool Age K–Grade 3 N/A N/A Total (Birth–Grade 3) N/A Dollars Invested Annually Federal Investment State Investment $25,635 $0 Total Investment $25,635 Note(s): Data were provided by the DCH and are from FY 2012. Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade – – Violanda Grigorescu, Director, MDCH Division of Genomics, Perinatal Health and Chronic Disease Epidemiology, Michigan Maternal Mortality Surveillance presentation (2009), www.michigan.gov/documents/mdch/ Michigan_Maternal_Mortality_Surveillance_MMMS_Division_Day_345436_7.pdf (accessed 2/4/13). 2 Ibid. 1 38 MIChild DCH Overview MIChild is a health care program (payer) for Michigan children who are low-income and uninsured. 1 "MIChild has a higher income limit than Healthy Kids. There is only an income test [to qualify]. Like Healthy Kids, MIChild is for children who are under age 19. There is a $10 per family monthly premium for MIChild. [This monthly premium covers] all of the children in one family. The child must be enrolled in a MIChild health and dental plan in order to receive services. Beneficiaries receive a comprehensive package of health care benefits including vision, dental, and mental health services." 2 Who Is Served? Group Served: CHILDREN Ages Served: Birth–19 Eligibility Criteria: To be eligible, children must: (1) be under age 19; (2) have no comprehensive health insurance, including Medicaid; (3) have a Social Security Number (or have applied for one); (4) live in Michigan, even for a short time; (5) be a U.S. citizen or qualified immigrant; and (6) meet income requirements. 3 Children Served Birth–Preschool Age K–Grade 3 15,931 15,826 Total (Birth–Grade 3) 31,757 Note(s): Data were provided by the DCH and are from FY 2011. Dollars Invested Annually Federal Investment State Investment $14,899,961 $4,692,361 Total Investment $19,592,322 Note(s): Data were provided by the DCH and are from FY 2011. Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade – Michigan Department of Community Health, MIChild website, www.michigan.gov/mdch/0,1607,7-132-2943_4845_4931--,00.html (accessed 2/4/13). 2 Michigan Department of Community Health, Health Care Programs Eligibility website, www.michigan.gov/mdch/0,1607,7-1322943_4860-35199--,00.html (accessed 2/4/13). 3 Michigan Department of Community Health, MIChild Healthy Kids Plan First (Lansing, Mich.: MDCH, July 2008), www.michigan.gov/documents/MIChild_english_5_65774_7.03_pms539.pdf (accessed 2/4/13). 1 39 MI Healthy Baby DCH Overview "In Fiscal Year 2012, the MI Healthy Baby program primarily focused on four components: (1) promotion of 2-1-1 as a way to connect to community maternal child health resources; (2) promotion of the text4baby program; (3) creation and promotion of the mobile website www.mihealthybaby.mobi; and (4) promotion of the importance of women being healthy before, during, and after pregnancy through an advertising campaign. The third year of federal grant funding for this program was cut, so beginning in Fiscal Year 2013, it is just the mobile website and text4baby promotion that is being maintained." 1 Who Is Served? Group Served: PARENTS/CAREGIVERS Ages Served: Families before, during, and after pregnancy 2 Eligibility Criteria: Available to the general public. Children Served Birth–Preschool Age K–Grade 3 N/A N/A Total (Birth–Grade 3) N/A Dollars Invested Annually Federal Investment State Investment $664,593 $0 Total Investment $664,593 Note(s): Data were provided by the DCH and are from FY 2012. Federal funding was eliminated after FY 2012 Early Childhood Outcome Addressed Children are… 1 2 Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade – E-mail from DCH staff, 11/1/12. MI Healthy Baby website, www.mihealthybaby.mobi (accessed 2/3/13). 40 – Newborn Screening Program DCH Overview "Newborn Screening is the process of early identification of health conditions followed by their subsequent timely treatment before the onset of disease processes. Newborn Screening is a public health program required by Michigan law to find babies with rare but serious disorders who require early treatment. All babies need to be tested in order to find the small number who look healthy but have a rare medical condition. Babies with these conditions seem healthy at birth but can become very sick in a short time... The program has three main goals: (1) assure that all Michigan infants receive newborn screening; (2) provide follow-up for infants with positive screening tests, ensuring access to treatment; and (3) provide long-term follow-up and monitoring of health outcomes. The program is funded by fees collected from the newborn screening cards." 1 Who Is Served? Group Served: CHILDREN Ages Served: Birth Eligibility Criteria: All babies are eligible. Children Served Birth–Preschool Age K–Grade 3 111,375 0 Total (Birth–Grade 3) 111,375 Note(s): Data were provided by the DCH and are from FY 2012. Dollars Invested Annually Federal Investment State Investment $0 $10,621,067 Total Investment $10,621,067 Note(s): Data were provided by the DCH and are from FY 2012. Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade – Michigan Department of Community Health, Newborn Screening Program Epidemiologist website, www.michigan.gov/mdch/0,4612,7-132-2944_5327-12856--,00.html (accessed 2/4/13). 1 41 – Nurse-Family Partnership DCH Overview The "Nurse-Family Partnership (NFP) is an evidence-based, community health program that helps transform the lives of vulnerable mothers pregnant with their first child. Each mother served by NFP is partnered with a registered nurse early in her pregnancy and receives ongoing nurse home visits that continue through her child’s second birthday. Independent research proves that communities benefit from this relationship — every dollar invested in NFP can yield up to five dollars in return." 1 NFP goals include: (1) improve pregnancy outcomes by helping women engage in good preventive health practices; (2) improve child health and development by helping parents provide responsible and competent care; and (3) improve the economic self-sufficiency of the family by helping parents develop a vision for their own future, plan future pregnancies, continue their education and find work. 2 Who Is Served? Group Served: CHILDREN PARENTS/CAREGIVERS Ages Served: At-risk mothers and their children through age 2 Eligibility Criteria: Target populations are individualized by community, but NFP programs focus on populations that are experiencing excessive infant mortality. 3 Children Served Birth–Preschool Age K–Grade 3 490 0 Total (Birth–Grade 3) 490 Note(s): Data were provided by the DCH and are from FY 2012. Dollars Invested Annually Federal Investment State Investment $2,104,039 $1,500,000 Total Investment $3,604,039 Note(s): Data were provided by the DCH and are from FY 2012. Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade – 1 Nurse-Family Partnership, State Profile 2012: Nurse-Family Partnership in Michigan (Denver, Colo.: Nurse-Family Partnership, 20120), ww.nursefamilypartnership.org/assets/PDF/Communities/State-profiles/MI_State_ Profile (accessed 2/4/13). 2 Ibid. 3 E-mail from DCH staff, 11/6/12. 42 Obesity Prevention in Early Learning and Development Programs Utilizing NAP SACC DCH Overview "The Michigan Department of Community Health/Cardiovascular Health, Nutrition & Physical Activity Section and the Early Childhood Investment Corporation (ECIC), partner to offer an early childhood obesity prevention grant opportunity utilizing the Nutrition & Physical Activity Self-Assessment for Child Care (NAP SACC) to improve healthy eating and physical activity policies within the [early childhood] center." 1 Who Is Served? Group Served: CHILDREN Ages Served: Ages 2–5 2 Eligibility Criteria: "All Michigan early care and education programs serving 2-5 year old children with high-needs in licensed centers are eligible to apply for this funding opportunity in collaboration with the Great Start to Quality Resource Center serving their county. Highneed children are those who are from low-income families or otherwise in need of special assistance and support, including children who have disabilities or developmental delays, who are English learners, who are migrant, homeless, or in foster care or who reside on “Indian lands”, as that term is defined by Section 8013(6) of the Elementary and Secondary Education Act, of 1065. Priority is given to applicants that demonstrated established relationships, programs with strong administrative support and programs that have health and/or obesity prevention as part of their mission or vision." 3 Children Served Birth–Preschool Age K–Grade 3 1,500 0 Total (Birth–Grade 3) 1,500 Note(s): Data were provided by the DCH and are from FY 2012. Because this program operates in child care centers and not kindergarten classrooms, all enrollment is listed as “birth-preschool age.” Dollars Invested Annually Federal Investment State Investment $0 $30,000 Total Investment $30,000 Note(s): Data were provided by the DCH and are from FY 2012. E-mail from DCH staff, 10/10/12. Ibid. 3 Ibid. 1 2 43 Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade 44 – Parent Leadership DCH Overview "The Parent Leadership in State Government Training Project provides a free two-day leadership training for Michigan parents who want to help impact local, state, and federal program planning and policy development. The training covers improving leadership skills, making meetings most effective, how to successfully handle conflict, and many other topics. During the two-day training, each parent will develop an individual action plan that will put his or her new leadership skills to use... Staff helps put these action plans into place by providing assistance to newly trained parents seeking positions on advisory boards, committees, and projects." 1 The Parent Leadership Project is a collaborative effort of the Michigan Departments of Community Health, Human Services, Education, and the Children's Trust Fund. 2 Who Is Served? Group Served: Ages Served: PARENTS/CAREGIVERS Parents Eligibility Criteria: "Any parent in Michigan who has a child age birth to 18 years old and has received specialty services in Michigan for their child." 3 Children Served Birth–Preschool Age K–Grade 3 N/A N/A Total (Birth–Grade 3) N/A Dollars Invested Annually Federal Investment State Investment $60,390 $0 Total Investment $60,390 Note(s): The total investment in children birth–grade 3 was estimated using total program spending (provided by the DCH) and population data. Data are from FY 2012. Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade Center for Educational Networking, Parent Leadership in State Government Training press release, www.cenmi.org/Events/Details/tabid/137/EventId/328/Default.aspx (accessed 2/5/13). 2 E-mail from DCH staff, 1/24/13. 3 Center for Educational Networking, Parent Leadership in State Government Training press release. 1 45 – Pediatric AIDS Prevention and Support DCH Overview "The Maternal and Child HIV/AIDS Program's services are aimed at achieving the best possible comprehensive care for women, youth, and children infected and/or affected by HIV/AIDS. This program serves to assure that coordination of existing medical care and social support services exists for families living with HIV/AIDS… "The HIV/AIDS Prevention and Intervention Section (HAPIS) administers the Ryan White Part D funds… Part D services are designed to be comprehensive, community-based, culturally competent, and family-centered. Funded agencies provide primary and specialty medical care, psychological services, logistical coordination and support, outreach, and case management. Part D employs family case managers and family advocates who serve to link families with needed care across service systems. The Part D Program works to assure that HIV positive women have access to medical therapies that reduce transmission of HIV to their newborn(s), as well as access to clinical trials that provide them state-of-the-art treatment. Part D further assures that HIV exposed, HIV positive children, and youth have access to available clinical trials." 1 Who Is Served? Group Served: CHILDREN PARENTS/CAREGIVERS Ages Served: HIV-positive women, youth, children, and HIV-exposed children, as well as affected family members. 2 Eligibility Criteria: HIV-positive women, youth, children, and HIV-exposed children, as well as affected family members. 3 Children Served Birth–Preschool Age K–Grade 3 116 30 Total (Birth–Grade 3) 146 Note(s): Data were provided by the DCH and are from FY 2012. Dollars Invested Annually Federal Investment State Investment $1,229,007 $0 Total Investment $1,229,007 Note(s): Data were provided by the DCH and are from FY 2012. Michigan Department of Community Health, Maternal and Child HIV/AIDS Program website, www.michigan.gov/mdch/0,4612,7-132-2942_4911_4912-12591--,00.html (accessed 2/5/13). 2 Ibid. 3 Ibid. 1 46 Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade – 47 – Pregnancy Risk Assessment Monitoring System (PRAMS) DCH Overview "The Michigan Pregnancy Risk Assessment Monitoring System (PRAMS) is an ongoing survey project of mothers who deliver live births in Michigan. PRAMS is part of a national effort to reduce infant mortality and adverse birth outcomes by providing information useful for developing and implementing intervention programs and for evaluating existing programs. This data is used to monitor progress toward national and state pregnancy-related health objectives, including the increase of positive birth outcomes. PRAMS is also used to identify and monitor selected self-reported maternal behaviors and experiences that occur before, during, and after pregnancy among women who deliver live-born infants... PRAMS generates statewide estimates of important perinatal health indicators among women delivering live infants. PRAMS staff collect data through a mailed survey with follow-up of non-respondents by telephone. The PRAMS survey is revised every three to five years, and each revision is referred to as a phase." 1 Who Is Served? Group Served: Ages Served: INFRASTRUCTURE (no direct service) N/A Eligibility Criteria: N/A Children Served Birth–Preschool Age K–Grade 3 N/A N/A Total (Birth–Grade 3) N/A Dollars Invested Annually Federal Investment State Investment $201,935 $0 Total Investment $201,935 Note(s): Data were provided by the DCH and are from FY 2012. Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade – – Michigan Department of Community Health. PRAMS website. www.michigan.gov/mdch/0,4612,7-132-2942_4911_21428--,00.html (accessed 2/15/13). 1 48 Prenatal Smoking Cessation (PSC) DCH Overview "The Prenatal Smoking Cessation (PSC) Program is currently designed to work with pregnant smokers who are receiving health services in prenatal programs. The PSC intervention model, "Smoke Free for Baby and Me" program, is designed to assess the stage of readiness to quit smoking and deliver clear, strong, personalized, and consistent intervention messages to help the person quit smoking. Upon completion of an assessment and identification of the stage of readiness to quit smoking, a three to five minute one on one counseling is conducted as part of these services. Effectiveness of this type of intervention has been found to be high when the messages and materials are consistent, supportive, relative to each client's readiness to quit, and provided each time the woman is seen for pregnancy-related services. The intervention is designed to be easily integrated into other medical, health and support services." 1 Who Is Served? Group Served: Ages Served: PARENTS/CAREGIVERS Pregnant women of all ages Eligibility Criteria: Pregnant women who smoke, or who are exposed to tabacco smoke, are eligible for this program. 2 Children Served Birth–Preschool Age K–Grade 3 N/A N/A Total (Birth–Grade 3) N/A Dollars Invested Annually Federal Investment State Investment $2,621 $7,861 Total Investment $10,482 Note(s): Data were provided by the DCH and are from FY 2012. Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade – Michigan Department of Community Health, Prenatal Smoking Cessation website, www.michigan.gov/ mdch/0,4612,7-132-2942_4911-12609--,00.html (accessed 2/5/13). 2 E-mail from DCH staff, 10/16/ 12. 1 49 – Prevention Direct Services: Child Care Expulsion Prevention (CCEP) Program DCH Overview "Child Care Expulsion Prevention (CCEP) has provided services within child care settings serving children birth up to age five. These services have been found to be effective in supporting young children at risk of expulsion to stay in their care setting successfully and to help teachers and families to foster social and emotional growth of all young children within their care." 1 "CCEP programs provide early childhood mental health consultation for parents and child care providers caring for children ages 0-5, who are experiencing behavioral or emotional challenges that put them at risk for expulsion from child care. CCEP aims to reduce expulsions, improve the quality of child care, and increase the number of parents and providers who successfully nurture the social-emotional development of infants, toddlers and preschoolers." 2 Who Is Served? Group Served: CHILDREN PARENTS/CAREGIVERS Ages Served: "Child care providers and parents who care for children under the age of six who are experiencing behavioral and emotional challenges in their child care settings." 3 Eligibility Criteria: Children with a serious emotional disturbance diagnosis. 4 Children Served Birth–Preschool Age K–Grade 3 53 0 Total (Birth–Grade 3) 53 Note(s): Data were provided by the DCH and are from FY 2012. Dollars Invested Annually Federal Investment State Investment $36,402 $18,929 Total Investment $55,331 Note(s): Data were provided by the DCH and are from FY 2012. Michigan Department of Community Health, Reducing Expulsion of Children from Child care website, www.michigan.gov/mdch/0,4612,7-132-2941_4868_7145-14785--,00.html (accessed 2/5/13). 2 Michigan Department of Community Health, CCEP fact sheet, 4/25/05, http://earlychildhoodmichigan.org/ articles/10-03/CCEP10-03.htm (accessed 2/5/13). 3 Michigan Department of Community Health, Medicaid Provider Manual (Lansing, Mich.: MDCH, January 1, 2013), www.mdch.state.mi.us/dch-medicaid/manuals/MedicaidProviderManual.pdf (accessed 2/6/13). 4 Phone call with DCH staff, 11/21/12. 1 50 Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade 51 – Prevention Direct Services: Infant Mental Health DCH Overview Infant mental health "[p]rovides home-based parent-infant support and intervention services to families where the parent's condition and life circumstances, or the characteristics of the infant, threaten the parentinfant attachment and the consequent social, emotional, behavioral and cognitive development of the infant. Services reduce the incidence and prevalence of abuse, neglect, developmental delay, behavioral and emotional disorder. PIHPs [Prepaid Inpatient Health Plans] or their provider networks may provide infant mental health services as a specific service when it is not part of a Department certified home-based program." 1 Who Is Served? Group Served: CHILDREN PARENTS/CAREGIVERS Ages Served: Pregnant women, children birth–1, and families 2 Infrastructure (no direct service) Eligibility Criteria: "The population served by an infant mental health specialist will vary community by community but typically involves families with multiple risks. Those risk factors may include: adolescent parents, poor, single parents, first born infants, low birth weight infants, and parents had a diagnosis of mental illness, developmental disability, or substance abuse." 3 Children Served Birth–Preschool Age K–Grade 3 478 0 Total (Birth–Grade 3) 478 Note(s): Data were provided by the DCH and are from FY 2011. Dollars Invested Annually Federal Investment State Investment $327,619 $170,358 Total Investment $497,977 Note(s): Data were provided by the DCH and are from FY 2011. Michigan Department of Community Health, Medicaid Provider Manual (Lansing, Mich.: MDCH, January 1, 2013), http://www.mdch.state.mi.us/dch-medicaid/manuals/MedicaidProviderManual.pdf (accessed 2/6/13). 2 Michigan Department of Community Health, Infant Mental Health website, www.michigan.gov/mdch/ 0,4612,7-132-2941_4868_7145-14659--,00.html (accessed 2/5/13). 3 Ibid. 1 52 Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade – 53 – Prevention Direct Services: Other Models DCH Overview “The Prevention Direct Services: Other Models includes the following services: “Children of Adults with Mental Illness prevents emotional and behavioral disorders among children whose parents are receiving services from the public mental health system and to improve outcomes for adult beneficiaries who are parents. The Integrated Services approach includes assessment and service planning for the adult beneficiaries related to their parenting role and their children's needs. Treatment objectives, services, and supports are incorporated into the service plan through a person-centered planning process for the adult beneficiary who is a parent. Linking the adult beneficiary and child to available community services, respite care and providing for crisis planning are essential components. “Parent Education is provided parents using evaluated models that promote nurturing parenting attitudes and skills, teach developmental stages of childhood (including social-emotional developmental stages), teach positive approaches to child behavior/discipline and interventions the parent may utilize to support healthy social and emotional development, and to remediate problem behaviors. “School Success Program works with parents so that they can be more involved in their child’s life, monitor and supervise their child’s behaviors; works with youth to develop pro-social behaviors, coping mechanisms, and problem solving skills; and consults with teachers in order to assist them in developing relationships with these students. Mental Health staff also act as a liaison between home and school.” 1 Who Is Served? Group Served: CHILDREN PARENTS/CAREGIVERS Ages Served: Children ages 5–8 and their parents Eligibility Criteria: Adults and children eligible for Specialty Mental Health Services and Supports from the Community Mental Health Services Program are eligible for these programs. 2 Children Served Birth–Preschool Age K–Grade 3 0 213 Total (Birth–Grade 3) 213 Note(s): Data were provided by the DCH and are from FY 2011. Dollars Invested Annually Federal Investment State Investment $258,288 $134,306 Total Investment $392,594 Note(s): Data were provided by the DCH and are from FY 2011. 1 2 E-mail with DCH staff, 3/5/13. Ibid. 54 • Prevention Direct Services: Other Models • Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade 55 – Project LAUNCH DCH Overview Project LAUNCH is a systems building grant funded by the Substance Abuse and Mental Health Services Adminstration (SAMHSA). "The purpose of Project LAUNCH Michigan (MI) is to improve the comprehensive wellness of all young children 0-8 and their families by using the public health approach to expand and enhance our early childhood system of care. MI LAUNCH will increase the use of evidence-based practices that promote comprehensive wellness as well as the integration of behavioral health into primary care." 1 The goal of Project LAUNCH is for "all children to reach physical, social, emotional, behavioral, and cognitive milestones." 2 In Michigan, Saginaw County is the pilot site for LAUNCH and receives the majority of the funding; funding at the state level is used for evaluation and to coordinate lessons learned from Saginaw with state-level implications. 3 Who Is Served? Group Served: CHILDREN Ages Served: Birth–8 4 INFRASTRUCTURE (no direct service) Eligibility Criteria: Project LAUNCH services in Saginaw are allocated to serve 70% urban and 30% rural participants. Since Project LAUNCH is a systems building grant, eligibility criteria for individual children is determined by service, at the local level. 5 Children Served Birth–Preschool Age K–Grade 3 177 153 Total (Birth–Grade 3) 330 Note(s): The number of children served was estimated using total enrollment and population data. Data are from FY 2011. Dollars Invested Annually Federal Investment State Investment $976,617 $0 Total Investment $976.617 Note(s): The total investment in children birth–grade 3 was estimated using the number of children served (estimated above) and assumes the investment is split proportionally. Data are from FY 2012. Michigan Department of Community Health. (2011). 2011 Title V Maternal and Child Health Block Grant. http://michigan.gov/documents/mdch/MCH_Needs_Assessment_325491_7.pdf (accessed 3/15/13). 2 National Center for Mental Health Promotion and Youth Violence Prevention, Project Launch website, http://projectlaunch.promoteprevent.org/about/about-launch (accessed 2/5/13). 3 Phone call with DCH staff, 10/16/12. 4 Project Launch website. 5 Phone call with DCH staff, 10/16/12 and Project Launch Michigan state profile, http://projectlaunch .promoteprevent.org/sites/default/files/grantee_summary_mi_0.pdf (accessed 2/5/13). 1 56 Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade 57 – Safe Delivery DCH Overview "Safe Delivery allows for the anonymous surrender of an infant (within 72 hours of birth) to an Emergency Service Provider (ESP) without the expressed intent to return for the newborns. ESP’s are defined as a uniformed or otherwise identified employee or contractor of a fire department, hospital, or police station when that individual is inside the premises and on duty. ESP also includes a paramedic or an emergency medical technician when either of those individuals is responding to a 9-1-1 emergency call. The intent of the law was to allow for an anonymous safe surrender of the newborn without fear of prosecution and to make the child available for adoption. Private adoption agencies assume responsibility for the child as soon as medical authorities determine that the child has not been neglected or abused and that the infant is not more than 72 hours old." 1 Who Is Served? Group Served: CHILDREN Ages Served: Babies less than 72 hours old 2 Eligibility Criteria: All babies are eligible. Children Served Birth–Preschool Age K–Grade 3 Total (Birth–Grade 3) 13 N/A 13 Note(s): Data were provided by the DCH and are from calendar year 2012. All program data are collected and reported based on the calendar, not fiscal, year. Dollars Invested Annually Federal Investment State Investment $69,703 $0 Total Investment $69,703 Note(s): Data were provided by the DCH and are from FY 2012. Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade – Department of Human Services. Safe Delivery Fact Sheet. (September 7, 2011), www.michigan.gov/documents/dhs/SAFE_DELIVERY_ STATISTICS___UPDATE__REVISED_as_of_September_7_2011_doc_REV_1_362698_7.pdf, (accessed 2/6/13). 2 Ibid. 1 58 – Safe Sleep DCH Overview The Safe Sleep program provides a statewide, consistent, comprehensive message and strategy to inform families and caregivers about unsafe sleep. Michigan has an Infant Safe Sleep State Advisory Team which is "a public/private partnership that coordinates statewide efforts to implement Infant Safe Sleep and reduce infant deaths related to unsafe sleep environments." 1 Who Is Served? Group Served: Ages Served: PARENTS/CAREGIVERS Families and caregivers of young children Eligibility Criteria: Available to the general public. Children Served Birth–Preschool Age K–Grade 3 N/A N/A Total (Birth–Grade 3) N/A Dollars Invested Annually Federal Investment State Investment $115,764 $0 Total Investment $115,764 Note(s): Data were provided by the DCH and are from FY 2012. Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade – Michigan Department of Community Health. (2011). 2011 Title V Maternal and Child Health Block Grant. http://michigan.gov/documents/mdch/MCH_Needs_Assessment_325491_7.pdf (accessed 3/15/13). 1 59 – School-Based Services DCH Overview The Medicaid School-Based Services (SBS) program "helps defray some of the rapidly increasing costs to schools for the health care and related services delivered to students with Individualized Education Programs (IEPs)—under Part B of the Individuals with Disabilities Education Act (IDEA)—as well as services for infants, toddlers, and their families in Early On® programs—under Part C of IDEA. All [56] of Michigan’s intermediate school districts (ISDs), Detroit Public Schools, and the Michigan School for the Deaf and Blind are enrolled with Medicaid as 'providers.'" 1 Who Is Served? Group Served: CHILDREN Ages Served: Birth–21 2 Eligibility Criteria: "Coverage applies to individuals up to the age of 21 who are eligible under the provisions of the Individuals with Disabilities Education Act (IDEA) of 1990 as amended in 2004 and to those enrolled in programs that require an Individualized Education Program (IEP) or an Individualized Family Services Plan (IFSP)." 3 Children Served Birth–Preschool Age K–Grade 3 151,656 270,205 Total (Birth–Grade 3) 421,861 Note(s): Data were provided by the DCH and are from FY 2011. Dollars Invested Annually Federal Investment State Investment $79,524,229 $0 Total Investment $79,524,229 Note(s): Data were provided by the DCH and are from FY 2011. Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade Michigan Department of Education. Michigan Medicaid School-Based Services (SBS) Program Helps Cover the Costs of School Health Care Services. (February 2010). http://focus.cenmi.org/2010/02/01/michigan-medicaid-school-based-services-sbsprogram-helps-cover-the-costs-of-school-health-care-services/ (accessed 2/15/13). 2 Michigan Department of Community Health, Medicaid Provider Manual (Lansing, Mich.: MDCH, January 1, 2013), www.mdch.state.mi.us/dch-medicaid/manuals/MedicaidProviderManual.pdf (accessed 2/6/13). 3 Ibid. 1 60 Shaping Positive Lifestyles and Attitudes through School Health (SPLASH) DCH Overview Shaping Positive Lifestyles and Attitudes through School Health (SPLASH) "works to increase the likelihood that people, including young children [that are] eligible for food assistance, will make healthy food choices with a limited budget and choose active lifestyles that are consistent with the 2010 U.S. Dietary Guidelines and MyPlate. The purpose of SPLASH is to provide low-income students and families with access to evidencebased education on improving nutrition and increasing physical activity to help them achieve sustainable healthy lifestyles." 1 Who Is Served? Group Served: CHILDREN Ages Served: K–Grade 12 2 Eligibility Criteria: "Schools are selected who qualify with greater than 50% free and reduced lunch participation, where nutritional and physical activity education would otherwise be limited. " 3 Children Served Birth–Preschool Age K–Grade 3 0 55,400 Total (Birth–Grade 3) 55,400 Note(s): Data were provided by the DCH and are from FY 2012. Dollars Invested Annually Federal Investment State Investment $515,003 $0 Total Investment $515,003 Note(s): Data were provided by the DCH and are from FY 2012. Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade E-mail from DCH staff, 10/10/12. Ibid. 3 SPLASH website, 2011, www.health-splash.org/what.htm (accessed 2/6/13). 1 2 61 – Substance Abuse Treatment: Designated Women's Programs DCH Overview The women's programs "exclusively provide services to pregnant women, and women with children, including those who are in need of bringing their children into treatment. Residential programs incorporate a variety of health, FASD [fetal alcohol spectrum disorder] prevention, parenting, child care, case management, specialized medical care, therapeutic interventions for the woman and family, and additional services within substance abuse treatment. Outpatient programs focus on therapeutic interventions for the woman and family, parenting and FASD prevention, case management and ancillary services as needed. "Michigan currently has 55 designated women’s specialty programs. These programs provide outpatient, intensive outpatient and residential treatment services to women, and their children if needed. "To be designated the programs must have the following services (established by CFR 96.124) available: (1) primary medical care for women, including immunization, for children; (2) primary pediatric care, including immunizations, for children; (3) gender specific substance abuse treatment and other therapeutic interventions for women which may address issues of relationships, sexual and physical abuse and parenting, and child care while the women are receiving these services; (4) therapeutic interventions for children in custody of women in treatment which may, among other things, address their developmental needs, their issues of sexual and physical abuse, and neglect; and (5) sufficient case management and transportation to ensure that women and their children have access to services provided by 1 to 4 above." 1 Who Is Served? Group Served: CHILDREN PARENTS/CAREGIVERS Ages Served: Pregnant women or women with children Eligibility Criteria: Participating women must "be pregnant or have children. The children do not have to be in her care and custody, but in order to qualify for services, she must retain her parental rights." 2 Children Served Birth–Preschool Age K–Grade 3 2,594 2,230 Total (Birth–Grade 3) 4,824 Note(s): Data were provided by the DCH and are from FY 2012. Dollars Invested Annually Federal Investment State Investment $2,482,106 $0 Total Investment $2,482,106 Note(s): Data were provided by the DCH and are from FY 2012. 1 2 E-mail from DCH staff, 11/2/12. Ibid. 62 • Substance Abuse Treatment: Designated Women's Programs • Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade – 63 – Vision Screening DCH Overview "Vision screening of pre-school children is conducted by local health department staff at least once between the ages of 3 and 5 years, and school-age children are screened in grades 1, 3, 5, 7 and 9." 1 "Screening, re-testing and referral is done. The battery of vision screening tests is administered by local health department staff trained by the Vision Consultant in the Division of Family and Community Health at MDCH... Follow-up for all screening is required which assures that care is received." 2 Who Is Served? Group Served: CHILDREN Ages Served: Ages 3–5 and Grades 1, 3, 5, 7, and 9 3 Eligibility Criteria: All children are eligible. Children Served Birth–Preschool Age K–Grade 3 82,021 170,575 Total (Birth–Grade 3) 252,596 Note(s): The total number of children served was provided by the DCH. The age split was unknown, so it was estimated based on the grades served by this program. Data are for FY 2012. Dollars Invested Annually Federal Investment State Investment $0 $1,277,910 Total Investment $1,277,910 Note(s): The total investment in children birth–grade 3 was estimated using total program spending (provided by the DCH) and the number of children in the ages tested. The estimate assumes costs are proportional. Data are from FY 2012. Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade Michigan Department of Community Health, Vision Screening website, www.michigan.gov/mdch/ 0,4612,7-132-2942_4911_4912_6238-260487--,00.html (accessed 2/6/13). 2 Michigan Department of Community Health. (2011). 2011 Title V Maternal and Child Health Block Grant. http://michigan.gov/documents/mdch/MCH_Needs_Assessment_325491_7.pdf (accessed 3/15/13). 3 Vision screening website. 1 64 – WIC Project FRESH DCH Overview "WIC Project FRESH is a program that makes fresh produce available to low-income, nutritionally-at-risk consumers, through Michigan farmers' markets... Participants may buy locally grown fresh fruits and vegetables, but are especially encouraged to buy broccoli, carrots, potatoes, squash, peaches, apples and tomatoes. A variety of produce rich in vitamins A, C, and folic acid are emphasized." 1 Who Is Served? Group Served: CHILDREN PARENTS/CAREGIVERS Ages Served: Women and children up to age 5 Eligibility Criteria: "Women and children up to age 5 (excluding infants) currently enrolled in the WIC program can get coupons for fresh fruits and vegetables. Women who are either pregnant or breastfeeding are targeted to help meet their special nutritional needs." 2 Children Served Birth–Preschool Age K–Grade 3 13,260 0 Total (Birth–Grade 3) 13,260 Note(s): Data were provided by the DCH and are from FY 2012. Dollars Invested Annually Federal Investment State Investment $327,826 $0 Total Investment $327,826 Note(s): Data were provided by the DCH and are from FY 2012. Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade Michigan Department of Community Health, Project FRESH – Farmer’s Market Nutrition Program website, www.michigan.gov/mdch/1,1607,7-132-2942_4910_4921---,00.html (accessed 2/6/13). 2 Ibid. 1 65 – Women, Infants, & Children (WIC) DCH Overview WIC "is a federally-funded program that serves low and moderate income pregnant, breastfeeding, and postpartum women, infants, and children up to age 5 who have a nutrition-related health problem. The program provides a combination of nutrition education, supplemental foods, breastfeeding promotion and support, and referrals to health care [and other services]. WIC foods are selected to meet nutrient needs such as calcium, iron, folic acid, [and] vitamins A & C. Participants exchange WIC food benefits at approved retail grocery stores and pharmacies." 1 "The mission of the Michigan WIC program is to improve health outcomes and quality of life for eligible women, infants and children." 2 Who Is Served? Group Served: CHILDREN PARENTS/CAREGIVERS Ages Served: Pregnant women, breast feeding women, non-lactating women, and children birth–5 3 Eligibility Criteria: Participants must have an income below 185% of the federal poverty level. 4 Children Served Birth–Preschool Age K–Grade 3 298,965 0 Total (Birth–Grade 3) 298,965 Note(s): Data were provided by the DCH and are from FY 2012. Dollars Invested Annually Federal Investment State Investment $132,455,018 $0 Total Investment $132,455,018 Note(s): Data were provided by the DCH and are from FY 2012. Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade – 1 Michigan Department of Community Health, How Does WIC Work website, www.michigan.gov/mdch/ 0,4612,7-132-2942_4910_6329-12648--,00.html (accessed 2/6/13). 2 Michigan department of Community Health, WIC Program Mission Statement website, www.michigan.gov/mdch/0,4612,7-1322942_4910_6329-220895--,00.html (accessed 2/6/13). 3 Michigan Department of Community Health, WIC Income Calculation Reference Sheet, Updated 04/12, www.michigan.gov/documents/mdch/WIC_Program_Guidelines_4-2011_352292_7.pdf (accessed 2/6/13). 4 Ibid. 66 Adoption Services Program DHS Overview "The Adoption Services Program provides for adoption planning and placement of children who are permanent court wards due to termination of parental rights. Services are provided to recruit and support permanent placements of children in homes that are capable of meeting the longterm physical, emotional, educational and behavioral needs of the child. Efforts are made to place children into adoptive homes as soon as possible following termination of parental rights. Services are provided by local DHS office adoption staff or adoption purchase of service contracts with 63 private Michigan child-placing agencies. Children receiving adoption services are in foster care and may have special needs (be older, a member of a sibling group, or may be physically, mentally or emotionally challenged). Adoption services include assessing the placement needs of the child; recruitment, orientation and training of potential adoptive families; completion of an adoptive family assessment (home study); certification of eligibility for adoption subsidy; adoptive placement and supervision; and the provision of post-adoption support services." 1 Who Is Served? Group Served: CHILDREN Ages Served: Birth–18 2 PARENTS/CAREGIVERS Eligibility Criteria: Children who are permanent court wards due to termination of parental rights are eligible. 3 Children Served Birth–Preschool Age K–Grade 3 1,154 670 Total (Birth–Grade 3) 1,824 Note(s): Data were provided by the DCH and are from FY 2011. Dollars Invested Annually Federal Investment State Investment $8,243,172 $16,176,845 Total Investment $24,420,017 Note(s): The total investment in children birth–grade 3 was estimated using total program spending (based on the line item appropriation) and assumes funding splits proportionally based on the number of children served. Data are from FY 2012. 1 Michigan Department of Human Services, Program Descriptions FY2013 (Lansing, Mich.: DHS, January 13, 2012), www.michigan.gov/documents/dhs/DHS-PgmDescFY2013_379405_7.pdf (accessed 2/6/13). 2 Michigan Department of Human Services, Adoption Services Manual (Lansing, Mich.: DHS, August 1, 2012), http://www.mfia.state.mi.us/olmweb/ex/adm/adm.pdf (accessed 4/1/13). 3 MDHS, Program Descriptions FY2013. 67 Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade 68 Adoption Subsidy DHS Overview "The Adoption Subsidy program provides support subsidy, nonrecurring adoption expenses reimbursement, and/or medical subsidy to adoptive families after the adoptive placement, or final adoption of a special needs child in Michigan. The financial support assists families with caring for special needs children (for example, older children, sibling groups, children placed with relatives, children with disabilities, medical, and/or mental health needs, children whose parental rights have been terminated, etc). "The eligibility criteria for subsidy assistance are determined by established federal and/or state laws, and DHS policies. Each individual child’s circumstance is considered in determining eligibility, and whether one or more subsidy benefits will be approved to support the adoption. Adoption support subsidy assists adoptive families with the daily costs of caring for the child. "The subsidy rates are linked to the foster care rate that would be appropriate if the child were in a family foster home. Support subsidy benefits are the same regardless of the funding sources. Nonrecurring adoption expenses are reimbursements to the adoptive family for expenses (up to $2,000) specifically related to the adoption. Adoption support subsidy and nonrecurring adoption expenses require that an approved subsidy agreement is in place prior to the finalized adoption for eligibility. Adoption Medical subsidy assists adoptive parents with the costs of care for a physical, mental, and/or emotional condition which exists, or the cause of which existed, prior to the adoption." 1 Who Is Served? Group Served: Ages Served: PARENTS/CAREGIVERS Birth–18 2 Eligibility Criteria: "The eligibility criteria for subsidy assistance are determined by established federal and/or state laws, and DHS policies. Each individual child’s circumstance is considered in determining eligibility, and whether one or more subsidy benefits will be approved to support the adoption." 3 Children Served Birth–Preschool Age K–Grade 3 3,078 6,613 Total (Birth–Grade 3) 9,691 Note(s): Data were provided by the DHS and represent the count on June 1, 2011. Dollars Invested Annually Federal Investment State Investment $48,652,203 $29,416,202 Total Investment $78,068,405 Note(s): The total investment in children birth–grade 3 was estimated using total program spending (based on the line item appropriation) and assumes funding splits proportionally based on the number of children served. Data are from FY 2012. 1 Michigan Department of Human Services, Program Descriptions FY2013 (Lansing, Mich.: DHS, January 13, 2012), www.michigan.gov/documents/dhs/DHS-PgmDescFY2013_379405_7.pdf (accessed 2/6/13). 2 Michigan Department of Human Services, Adoption Services Manual (Lansing, Mich.: DHS, August 1, 2012), http://www.mfia.state.mi.us/olmweb/ex/aam/aam.pdf (accessed 4/1/13). 3 Michigan Department of Human Services, Program Descriptions FY2013. 69 • Adoption Subsidy • Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade 70 Child Care Licensing DHS Overview The Child Care Licensing Division (part of the Bureau of Children and Adult Licensing) "is responsible for the protection of vulnerable children less than one year-of-age through age 17. Children are in out-of-home child care facilities for periods less than 24 hours. The division licenses and regulates: child care centers (capacity based on square footage); family child care homes (1-6 children); and group child care homes (712 children)." 1 Who Is Served? Group Served: Ages Served: INFRASTRUCTURE (no direct service) N/A Eligibility Criteria: N/A Children Served Birth–Preschool Age K–Grade 3 N/A N/A Total (Birth–Grade 3) N/A Dollars Invested Annually Federal Investment State Investment $14,850,279 $3,390,520 Total Investment $18,240,799 Note(s): The total investment in children birth–grade 3 was estimated using total program spending (based on combining several line item appropriations) and the number of children served in other state-supported child care programs. Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade – 1 Michigan Department of Human Services, Program Descriptions FY2013 (Lansing, Mich.: DHS, January 13, 2012), www.michigan.gov/documents/dhs/DHS-PgmDescFY2013_379405_7.pdf (accessed 2/6/13). 71 Children’s Protective Services DHS Overview "Children’s Protective Services (CPS) investigates allegations that a child under the age of 18 is being abused or neglected by a caretaker (a person defined in the law as responsible for the child’s health or welfare.) CPS also assesses the safety of all children in the household and, if necessary, initiates actions needed to protect them. If there is a preponderance of evidence that abuse or neglect occurred, CPS assists the family in resolving issues that place the children at risk." 1 Who Is Served? Group Served: CHILDREN Ages Served: Birth–18 Eligibility Criteria: "Reports must meet the following three criteria to be assigned for investigation: [1] the alleged victim is under 18 years of age; [2] the alleged perpetrator is a parent, legal guardian or other person responsible for the child's health and welfare; [3] the allegations minimally meet the child abuse and neglect definitions in the Child Protection Law." 2 Children Served Birth–Preschool Age K–Grade 3 Total (Birth–Grade 3) 71,571 50,147 121,718 Note(s): Data were provided by the DHS and are from FY 2011. Dollars Invested Annually Federal Investment State Investment $47,260,943 $24,097,625 Total Investment $71,358,568 Note(s): The total investment in children birth–grade 3 was estimated using total program spending (based on the line item appropriation) and assumes funding splits proportionally based on the number of children served. Data are from FY 2012. Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade Michigan Department of Human Services, Program Descriptions FY2013 (Lansing, Mich.: DHS, January 13, 2012), www.michigan.gov/documents/dhs/DHS-PgmDescFY2013_379405_7.pdf (accessed 2/6/13). 2 Ibid. 1 72 Children's Trust Fund Direct Service Grants DHS Overview The Children's Trust Fund (CTF) supports Direct Services grants that "fund community‐based child abuse prevention programs and services. The grants support families that have risk factors or challenges that could impact positive parenting and optimal child development. Strong emphasis is placed on assuring that funded initiatives are appropriately integrated into broader community plans for serving children and families." 1 Specifically, "direct service programs: [1] provide services that are designed to promote strong, nurturing families and prevent child abuse and neglect, [2] focus on parent/guardian skills training and support in the areas of child development, child care skills, and stress management, and [3] provide services like respite care, parent support groups, responsible fatherhood, home visitation, family resource and support centers, positive youth development, and other community-based prevention programs." 2 Who Is Served? Group Served: CHILDREN PARENTS/CAREGIVERS Ages Served: Varies by funded program Eligibility Criteria: Varies by funded program Children Served Birth–Preschool Age K–Grade 3 Total (Birth–Grade 3) 890 611 1,501 Note(s): Total children served was obtained from the CTF FY 2011 Community-Based Child Abuse Prevention grant report and was apportioned based on the age distribution of children below the poverty line. Data are for FY 2011. Dollars Invested Annually Federal Investment State Investment $334,366 $0 Total Investment $334,366 Note(s): The total investment in children birth–grade 3 was estimated using total program spending (from the CTF website) and the assumption that funding splits proportionally based on the number of children served. Data are from FY 2012. Note: The Children’s Trust Fund receives nearly two-thirds of its funding from private sources. Children’s Trust Fund, The Power of One (Lansing, Mich.: Children’s Trust fund, n.d.), www.michigan.gov/ documents/ctf/CAP_month_Pamphlet_227378_7.pdf (accessed 2/8/13). 2 Ibid. 1 73 Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade – 74 – Children's Trust Fund Local Councils DHS Overview "The Children’s Trust Fund serves as a voice for Michigan’s children and families and promotes their health, safety, and welfare by funding effective local programs and services that prevent child abuse and neglect." 1 The CTF currently partners with local prevention councils that serve 81 of Michigan's 83 counties. "Local councils develop and facilitate collaborative prevention programs in their communities. Activities include public awareness campaigns, training for professionals in the child welfare field, information and referrals, local resource directories, and educational workshops for parents and youth." 2 Local council education series and activities reached over 80,000 children in FY 2011. 3 Who Is Served? Group Served: Ages Served: INFRASTRUCTURE (no direct service) N/A Eligibility Criteria: N/A Children Served Birth–Preschool Age K–Grade 3 N/A N/A Total (Birth–Grade 3) N/A Dollars Invested Annually Federal Investment State Investment $433,862 $0 Total Investment $433,862 Note(s): The total investment in children birth–grade 3 was estimated using total program spending (from the CTF website) and the assumption that funding splits proportionally based on the number of children served. Data are from FY 2012. Note: The Children’s Trust Fund receives nearly two-thirds of its funding from private sources. Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade – – Children’s Trust Fund, The Power of One (Lansing, Mich.: Children’s Trust Fund, n.d.), www.michigan.gov/documents/ctf/CAP_month_Pamphlet_227378_7.pdf (accessed 2/8/13). 2 Ibid. 3 Children’s Trust Fund, Community-Based Child Abuse Prevention Grant Report (2012). http://friendsnrc.org/state-resources. 1 75 Child Support Administration DHS Overview The Child Support Administration helps "parents establish a financial partnership to support their child(ren)." 1 "Child support is money a parent pays to help meet his/her child’s needs when the parent is not living with the child. The court orders the support. The support may be part of a court order in a: divorce; paternity action; child custody action; family support action; [or] interstate action." 2 In Michigan, the Office of Child Support "provides case initiation services to customers, operates the State Disbursement Unit, provides some centralized enforcement services and is responsible for policy development and training." 3 Who Is Served? Group Served: Ages Served: PARENTS/CAREGIVERS Families with children Eligibility Criteria: "A person can receive child support if all of the following apply: [1] (s)he is the parent of a minor child or is the person who has custody of a minor child; [2] the minor child lives in the person’s home; [3] the child is financially dependent on that person; [4] one or both of the child’s parents do not live with the child; [and 5] the court has ordered a child support payment." 4 Children Served Birth–Preschool Age K–Grade 3 234,439 201,502 Total (Birth–Grade 3) 435,941 Note(s): The number of children served was estimated using the total number of children in the IV-D child support program and population data. Data are from FY 2011. Dollars Invested Annually Federal Investment State Investment $95,794,556 $15,739,518 Total Investment $111,534,074 Note(s): The total investment in children birth–grade 3 was estimated using total program spending (based on combining several line item appropriations) and assumes funding splits proportionally based on the number of children served. Data are from FY 2012. Michigan Department of Human Services, Child Support website, www.michigan.gov/dhs/0,4562,7-124-5528---,00.html (accessed 2/8/13). 2 Michigan Department of Human Services, Understanding Child Support: A Handbook for Parents (Lansing, Mich.: DHS, n.d.), www.michigan.gov/documents/dhs/DHS-PUB-748_209001_7.pdf (accessed 2/8/13). 3 Michigan Department of Human Services, Program Descriptions FY2013 (Lansing, Mich.: DHS, January 13, 2012), www.michigan.gov/documents/dhs/DHS-PgmDescFY2013_379405_7.pdf (accessed 2/6/13). 4 Michigan Department of Human Services, Understanding Child Support: A Handbook for Parents. 1 76 Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade 77 – Families First of Michigan (FFM) DHS Overview "Families First of Michigan (FFM) serves families that have at least one child at imminent risk of placement in out-of-home care. Families with children in out-of-home care are eligible for referral to the program when it is determined that reunification is not appropriate without intensive services and the Family Reunification Program (FRP) is not available. If indicated in the contract as a referral source, some contract areas are designated as providing services to families referred from tribal referral sources. Similarly, referrals may also be made by designated domestic violence shelter programs for families with at least one child at risk of homelessness due to domestic violence. "FFM offers families intensive, short-term crisis intervention and family education services in their home for four weeks using the FFM model. FFM workers are available and accessible to the family 24 hours a day, seven days a week. The workers assist families by establishing individual family goals designed to reduce risk of out-of-home placement and increase child safety. FFM workers assist families in meeting goals by teaching, modeling and reinforcing appropriate parenting and providing concrete services and connections to community services." 1 Who Is Served? Group Served: Ages Served: PARENTS/CAREGIVERS Families with children from birth–18 2 Eligibility Criteria: "Families with children in out-of-home care are eligible for referral to the program when it is determined that reunification is not appropriate without intensive services and the Family Reunification Program (FRP) is not available. Specific FFM contracts are identified to accept referrals from domestic violence (DV) shelters. Referrals to FFM are limited to those families that include a parent or guardian (survivor of DV) and at least one child under 18 years of age. For the referral to FFM due to DV, the term "risk" refers to risk of homelessness due to DV, living in a potentially violent environment, or other risks to a child's welfare. A DHS juvenile justice specialist (JJS) may make a referral to the FFM agency if the youth is at imminent risk of being placed in long-term out-ofhome placement due to delinquency or incorrigibility." 3 Children Served Birth–Preschool Age K–Grade 3 2,639 1,849 Total (Birth–Grade 3) 4,488 Note(s): The number of children served was estimated using the total number of families served (provided by DHS), assumptions about the number of children per family, and data from Children’s Protective Services. Data are from FY 2012. 1 Michigan Department of Human Services, Program Descriptions FY2013 (Lansing, Mich.: DHS, January 13, 2012), www.michigan.gov/documents/dhs/DHS-PgmDescFY2013_379405_7.pdf (accessed 2/6/13). 2 Michigan Department of Human Services. Families First of Michigan Program Guidelines & Website. www.michigan.gov/dhs/0,4562,7-124-7119_50648_7210-15373--,00.html. (accessed 2/6/13) 3 Ibid. 78 Dollars Invested Annually Federal Investment State Investment $10,098,415 $0 Total Investment $10,098,415 Note(s): The total investment in children birth–grade 3 was estimated using total program spending (from the line item appropriation) and the assumption that funding splits proportionally based on the number of children served. Data are from FY 2012 Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade 79 Family Independence Program (FIP) DHS Overview "The goal of the Family Independence Program (FIP) is to help families achieve self-support and independence, to reduce dependence on public assistance and increase self-sufficiency. FIP provides a monthly cash assistance grant for both one- and two-parent families. Cash assistance assists in covering personal needs costs (clothing, household items, etc.), housing, heat, utilities and food, in conjunction with Food Assistance Program benefits. Jobs, Education, and Training (JET) is Michigan’s ongoing programming approach within FIP to provide employment and training services." 1 Who Is Served? Group Served: CHILDREN Ages Served: All ages PARENTS/CAREGIVERS Eligibility Criteria: "FIP eligibility is based on financial and non-financial factors: "Financial Eligibility Factors: To be eligible for FIP, a family must meet income and asset requirements. The family’s income (minus earned income disregards) plus certifiable child support income is deducted from the payment standard to determine whether or not the family is eligible to receive assistance. The asset limit is $3,000 for cash assets (which includes cash on hand or in savings and checking accounts, investments, retirement plans and trusts). The property asset limit is $500,000. "Non-Financial Eligibility Factors: Major non-financial eligibility factors include, but are not limited to: the time on assistance, age of children, cooperation with employment and training (including development of a Family Self-Sufficiency Plan), school attendance and child support requirements. FIP recipients are required to participate up to 40 hours per week in employment and/or employment-related activities." 2 Children Served Birth–Preschool Age K–Grade 3 42,725 26,477 Total (Birth–Grade 3) 69,202 Note(s): Data were available in the DHS Green Book (www.michigan.gov/dhs/) and are as of August 2012. Dollars Invested Annually Federal Investment State Investment $76,317,796 $129,383,281 Total Investment $205,701,077 Note(s): The total investment in children birth–grade 3 was estimated using total program spending (provided by the DHS) and the number of children served. The estimate implicitly assumes that all program dollars are used to support children. Data are from FY 2012. Note: Policy changes regarding timelines have occurred but are not yet reflected in these data. 1 Michigan Department of Human Services, Program Descriptions FY2013 (Lansing, Mich.: DHS, January 13, 2012), www.michigan.gov/documents/dhs/DHS-PgmDescFY2013_379405_7.pdf (accessed 2/6/13). 2 Ibid. 80 Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade 81 – Family Reunification Program (FRP) DHS Overview "Family Reunification Program (FRP) services are available to those families who have a child residing in outof-home placement due to abuse or neglect, who may be returned home with intensive services within 30 days of the FRP referral. Out-of-home placement includes, but is not limited to: residential treatment, family foster care, group family foster care, relative placement, psychiatric hospitalization, and detention (if dual wardship). "The Family Reunification Program seeks to increase permanency by facilitating early return home from foster care and decreasing subsequent returns to foster care in abuse and neglect cases. FRP is not available in all counties, but where it is available, a referral is mandatory (as contract capacity permits) for all abuse and neglect foster care cases where the goal is to return the child home. During the intervention period, each time a child is returned home, the FRP team provides 8–12 hours of face-to-face contact with the family for the first two weeks after the child is returned to the family." 1 Who Is Served? Group Served: CHILDREN PARENTS/CAREGIVERS Ages Served: Families with children from birth–18 2 Eligibility Criteria: "For the family to be eligible for services, one of the following must apply: (1) a written court order allowing return of the child(ren) to a permanent family home has been obtained by the foster care worker; (2) return home must be anticipated / planned within 30 days of the referral to FRP; (3) the child(ren) was returned home unexpectedly at a court hearing, and the referral to FRP is made within 48 hours of the written court order for the child(ren) to return home at that time." 3 Children Served Birth–Preschool Age K–Grade 3 Total (Birth–Grade 3) 707 495 1,202 Note(s): The number of children served was estimated using the total number of families served (provided by DHS), assumptions about the number of children per family, and data from Children’s Protective Services. Data are from FY 2012. Dollars Invested Annually Federal Investment State Investment $1,742,935 $494,437 Total Investment $2,237,372 Note(s): The total investment in children birth–grade 3 was estimated using total program spending (from the line item appropriation) and data from Children’s Protective Services. Data are from FY 2012. 1 Michigan Department of Human Services, Program Descriptions FY2013 (Lansing, Mich.: DHS, January 13, 2012), www.michigan.gov/documents/dhs/DHS-PgmDescFY2013_379405_7.pdf (accessed 2/6/13). 2 Michigan Department of Human Services Reporting Abuse and Neglect website, www.michigan.gov/dhs/ 0,4562,7-124-7119_50648_7193---,00.html (accessed 2/9/13). 3 DHS, Program Descriptions FY 2013. 82 Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade 83 Food Assistance Program (FAP) DHS Overview "The goal of the Food Assistance Program (FAP) is to raise the food purchasing power of low-income persons. Limited food purchasing power contributes to hunger and malnutrition. FAP is one of the federal safety net programs. Benefits are 100 percent federally funded and administrative costs are shared equally between the state and the federal government. FAP benefits are not considered income or assets for FIP [Family Independence Program], SDA [State Disability Assistance] Medicaid (MA), or any other federal, state or local programs. Therefore, any other assistance for which a FAP household qualifies is not reduced because of the household's receipt of FAP benefits. FAP benefits can be used to buy eligible food at any Food and Nutrition Service-authorized retail food store or approved meal provider. Eligible items include any food or beverage product intended for human consumption except alcoholic beverages, tobacco, and food prepared for immediate consumption." 1 Who Is Served? Group Served: CHILDREN Ages Served: All ages PARENTS/CAREGIVERS Eligibility Criteria: "Groups of people living in the same household are eligible for FAP benefits based on assets, net income, the size of the household, and certain expenses. FAP groups are categorically eligible if all group members receive Family Independence Program (FIP) benefits, State Disability Assistance (SDA) benefits, Supplemental Security Income, or if they meet the income and asset limits. A group is not categorically eligible for FAP if any member of the group is disqualified for an intentional program violation (IPV), trafficking, parole and probation violation, or is a fugitive felon." 2 Children Served Birth–Preschool Age K–Grade 3 218,235 167,207 Total (Birth–Grade 3) 385,442 Note(s): Data were available in the DHS Green Book (http://www.michigan.gov/dhs/) and are as of August 2012. Dollars Invested Annually Federal Investment State Investment $646,626,947 $1,280,279 Total Investment $647,907,226 Note(s): The total investment in children birth–grade 3 was estimated using total program spending (from the appropriation) and the number of children served. The estimate assumes that program dollars support children and families. Data are from FY 2012. 1 Michigan Department of Human Services, Program Descriptions FY2013 (Lansing, Mich.: DHS, January 13, 2012), www.michigan.gov/documents/dhs/DHS-PgmDescFY2013_379405_7.pdf (accessed 2/6/13). 2 Ibid. 84 Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade – 85 – Foster Care DHS Overview "The Children's Foster Care Program provides placement and supervision of children who have been removed from their homes due to abuse or neglect. The court authorizes removal of children from their parents and refers them to DHS for placement, care and supervision. Foster care is viewed as a short-term solution to an emergency situation and permanency planning must continue throughout the child’s placement in care. Foster care intervention is directed toward assisting families to rectify the conditions that brought the children into care through assessment and service planning. When families cannot be reunified, children must be prepared for safe, appropriate permanent placements through adoption, guardianship or another permanent placement." 1 Who Is Served? Group Served: CHILDREN Ages Served: Birth–18 2 PARENTS/CAREGIVERS Eligibility Criteria: The Foster Care Program serves children who have been removed from their homes due to abuse or neglect. 3 Children Served Birth–Preschool Age K–Grade 3 5,095 2,844 Total (Birth–Grade 3) 7,939 Note(s): Data were provided by the DHS and are from FY 2012. Dollars Invested Annually Federal Investment State Investment $100,809,877 $73,391,823 Total Investment $174,201,700 Note(s): The total investment in children birth–grade 3 was estimated using total program spending (provided by the DHS) and assumes funding splits proportionally based on number of children served. Data are from FY 2012. Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade 1 Michigan Department of Human Services, Program Descriptions FY2013 (Lansing, Mich.: DHS, January 13, 2012), www.michigan.gov/documents/dhs/DHS-PgmDescFY2013_379405_7.pdf (accessed 2/6/13). 2 Ibid. Note that in some circumstances services may be extended until age 21. 3 Ibid. 86 Guardianship Assistance Program (GAP) DHS Overview "The Guardianship Assistance Program (GAP) provides financial support to ensure permanency for children who may otherwise remain in foster care until reaching the age of majority. Guardianship assistance supports the goals of the Adoption and Safe Families Act of 1997, which determined that guardianship provides permanency for foster children when reunification and adoption are not viable permanency goals. The transfer of legal responsibility removes the child from the child welfare system, allows a caregiver to make important decisions on the child’s behalf, establishes a permanent caregiver for the child, and addresses financial needs through ongoing assistance payments. Juvenile guardianship should not be used for temporary placement of children and the program is specifically for children who would remain in foster care until the age of majority if the juvenile guardianship was not established." 1 Who Is Served? Group Served: CHILDREN Ages Served: Birth–21 2 PARENTS/CAREGIVERS Eligibility Criteria: "In order to be eligible for GAP, the child must be in licensed foster care and meet either Title IV-E or state funded guardianship assistance requirements. Children who qualify for Title IV-E funded guardianship assistance are categorically eligible for Medicaid. Children who qualify for GAP are eligible for nonrecurring expenses reimbursement, the Medical Subsidy Program and services through the Post Adoption Resource Centers. During FY 2011, Michigan began extending GAP benefits to eligible children. The Guardianship Assistance Program may continue for eligible children until their 21st birthday if they are in school, in job training, employed or incapable due to a documented medical condition. Youth who enter into guardianship after age 16 are eligible for Education and Training Vouchers (ETV)." 3 Children Served Birth–Preschool Age K–Grade 3 114 63 Total (Birth–Grade 3) 177 Note(s): The number of children served was estimated using total enrollment (from DHS program materials) with the same proportional split as Foster Care. Data are from FY 2012. Dollars Invested Annually Federal Investment State Investment Total Investment $585,731 $635,480 $1,221,211 Note(s): The total investment in children birth–grade 3 was estimated using total program spending (from DHS program materials) and the assumption that funding splits proportionally based on the number of children served. Data are from FY 2012. 1 Michigan Department of Human Services, Program Descriptions FY2014 (Lansing, Mich.: DHS, January 13, 2012), http://www.michigan.gov/documents/dhs/FY_2014_DHS_Program_Descriptions_2-5-2013_412026_7.pdf (accessed 3/27/13). 2 Ibid. 3 Ibid. 87 • Guardianship Assistance Program (GAP) • Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade 88 Refugee Assistance Program (RAP) DHS Overview "The Refugee Assistance Program (RAP) is a federal program which helps refugees become self-sufficient after their arrival in the United States. RAP provides assistance to individuals and families who have left their country of origin because of political, religious or ethnic persecution. Services provided include: Refugee Cash Assistance, Refugee Medical Assistance, Health Screening, Employment Support Services and if qualified, Unaccompanied Minors Foster Care. Refugees may also be eligible for cash assistance and services funded by Temporary Assistance for Needy Families (TANF). Private providers under contract with the RAP deliver services. "DHS is the designated agency responsible for the delivery of services to refugees. DHS staff determines eligibility and makes necessary referrals, monitors contractor compliance, and develops grant proposals for this public-private partnership program. Primary resettlement is accomplished through local affiliates of national voluntary agencies. Eight local affiliates of national agencies have resettled refugees in more than 60 Michigan counties." 1 Who Is Served? Group Served: CHILDREN Ages Served: All ages 2 PARENTS/CAREGIVERS Eligibility Criteria: "RAP provides assistance to individuals and families who have left their country of origin because of political, religious or ethnic persecution." 3 Children Served Birth–Preschool Age K–Grade 3 332 282 Total (Birth–Grade 3) 614 Note(s): Data were provided by the DHS and are from FY 2012. Dollars Invested Annually Federal Investment State Investment $3,654,081 $0 Total Investment $3,654,081 Note(s): Data were provided by the DHS and are from FY 2012. 1 Michigan Department of Human Services, Program Descriptions FY2013 (Lansing, Mich.: DHS, January 13, 2012), www.michigan.gov/documents/dhs/DHS-PgmDescFY2013_379405_7.pdf (accessed 2/6/13). 2 Ibid. 3 Ibid. 89 Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade 90 Strong Families/Safe Children DHS Overview "Strong Families/Safe Children (SF/SC) is a community-based initiative in response to federal funding for new and enhanced family preservation and support services. SF/SC funds provide preventive services to families at risk of child abuse/neglect (family support services), services to families at risk of out-of-home placement or in crisis (family preservation placement prevention), time-limited reunification services, and adoption promotion and support services. The Department of Human Services (DHS) partners with Community Collaborative groups to select services based on assessment of local needs. The local Collaborative groups include the directors of the local human services agencies, the prosecutor, the probate judge, the school superintendent, advocacy organizations, child welfare parents and other stakeholders." 1 Who Is Served? Group Served: CHILDREN PARENTS/CAREGIVERS Ages Served: Families with children from birth–18 2 Eligibility Criteria: SF/SC provides preventative services for: (1) families at risk of child abuse/neglect, (2) families at risk of out-of-home placement, or (3) in crisis. 3 Children Served Birth–Preschool Age K–Grade 3 Total (Birth–Grade 3) 8,456 5,925 14,381 Note(s): The number of children served was estimated using the total number of families served (provided by DHS), assumptions about the number of children per family, and data from Children’s Protective Services. Data are from FY 2010. Dollars Invested Annually Federal Investment State Investment $8,479,131 $0 Total Investment $8,479,131 Note(s): The total investment in children birth–grade 3 was estimated using total program spending (from the appropriation), the number of children served, and Children’s Protective Services data. Data are from FY 2012. 1 Michigan Department of Human Services, Program Descriptions FY2013 (Lansing, Mich.: DHS, January 13, 2012), www.michigan.gov/documents/dhs/DHS-PgmDescFY2013_379405_7.pdf (accessed 2/6/13). 2 Michigan Department of Human Services. Strong Families/Safe Children website. http://www.michigan.gov/dhs /0,4562,7-1247119_50648_7210-15393--,00.html (accessed 3/15/13) 3 DHS, Program Descriptions FY2013. 91 Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade 92 Great Start Early Learning Advisory Council ECIC Overview The Improving Head Start Act of 2007 called for the establishment of state early childhood advisory councils to improve the quality, availability, and coordination of programs and services for children ages birth to five years. Among other activities, the councils are charged with: • Developing recommendations to increase access to high-quality early childhood care and education programs; • Conducting a periodic needs assessment of the quality and availability of programs; and • Advising state policymakers on the development of a comprehensive early childhood data system, a statewide professional development system, and research-based early learning standards. 1 Michigan’s Great Start Early Learning Advisory Council "is comprised of stakeholders representing a broad range of constituencies, including education, child care, Head Start, higher education, state government, foundations, parent, and local early childhood governance structures ... The Council advises on collaborative efforts to coordinate, improve, and expand existing early learning programs and services, including making use of existing reports, research and planning efforts." 2 Who Is Served? Group Served: Ages Served: INFRASTRUCTURE (no direct service) N/A Eligibility Criteria: N/A Children Served Birth–Preschool Age K–Grade 3 N/A N/A Total (Birth–Grade 3) N/A Dollars Invested Annually Federal Investment State Investment $987,923 $0 Total Investment $987,923 Note(s): Data were provided by the ECIC and are from FY 2012. Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade – NGA Center for Best Practices, Creating a Comprehensive State Early Childhood Advisory Council (Washington, D.C.: NGA, May 2009), www.nga.org/files/live/sites/NGA/files/pdf/0905ECACFAQ.PDF (accessed 2/11/13). 2 Early Childhood Investment Corporation (ECIC), Early Learning Advisory Council website, http://greatstartforkids. org/content/early-learning-advisory-council and call with Karen Roback, 10-31-12 (accessed 2/11/13). 1 93 21st Century Community Learning Centers (21st CCLC) MDE Overview "The 21st Century Community Learning Centers (21st CCLC) Grant Program's focus is to provide expanded academic enrichment opportunities for children attending low-performing schools. Tutorial services and academic enrichment activities are designed to help students meet local and state academic standards in subjects such as reading and math. In addition, 21st CCLC programs provide youth development activities, drug and violence prevention programs, technology education programs, art, music and recreation programs, counseling and character education to enhance the academic component of the program." 1 Who Is Served? Group Served: CHILDREN Ages Served: PreK–Grade 12 2 Eligibility Criteria: "Each applicant will define the school(s) intended for service at each proposed site. All students who attend those schools are eligible to attend the project. However, each school building proposed for service must have at least 30 percent of the students from low-income families for the school to be eligible for service. Low-income families are defined as those whose children qualify for free-or reduced-price meals. Applicants must provide equitable services to private school students and their families, if those students are part of the target population defined in the application." 3 Children Served Birth–Preschool Age K–Grade 3 0 13,825 Total (Birth–Grade 3) 13,825 Note(s): The number of children served was estimated using total program enrollment (provided by MDE program materials) and total K–12 enrollment. Data are from FY 2012. Dollars Invested Annually Federal Investment State Investment $12,084,695 $0 Total Investment $12,084,695 Note(s): The total investment in children birth–grade 3 was estimated using total program spending (provided by MDE program materials) and assumes spending splits proportionally based on the number of children served. Data are from FY 2012. 1 Michigan Department of Education, 21st Century Community Learning Centers website, www.michigan.gov/mde/0,4615,7-1406530_6809-39974--,00.html (accessed 2/11/13). 2 Michigan Department of Education, 21st Century Community Learning Centers Frequently Asked Questions (Lansing, Mich.: MDE, N.d.), www.michigan.gov/documents/mde/2009_21st_CCLC_FAQ_270697_7.pdf (accessed 2/11/13). 3 Ibid. 94 Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade 95 Afterschool Snack Program MDE Overview "The Afterschool Snack Program provides a nutritious, low cost or free snack after school to children in public and private schools, public school academies, and residential child care institutions throughout Michigan." 1 Who Is Served? Group Served: CHILDREN Ages Served: PreK–Grade 12 (Note: PreK students are eligible if the program is administered by the Local Education Agency [LEA] or private school.) 2 Eligibility Criteria: Schools: To qualify, schools must participate in the National School Lunch Program and sponsor/operate an afterschool care program. 3 Students: If a site is "area eligible" (located in an attendence area or school where at least 50% of enrolled children are eiglbile for free and reduced price meals) then all students receive a snack free of charge. If the site is not "area eligible," then any student may purchase a snack, and prices vary based on family income (families must complete the free and reduced price lunch application). 4 Children Served Birth–Preschool Age K–Grade 3 389 5,422 Total (Birth–Grade 3) 5,811 Note(s): The number of children served was estimated using total program enrollment (provided by MDE program materials) and data about students qualifying for free and reduced lunch. Data are from FY 2011. Dollars Invested Annually Federal Investment State Investment $595,553 $0 Total Investment $595,553 Note(s): The total investment in children birth–grade 3 was estimated using total program spending (provided by MDE program materials) and assumes spending splits proportionally based on the number of children served. Data are from FY 2011. Michigan Department of Education, Afterschool Snack Program website, www.michigan.gov/mde/ 0,4615,7-140-43092_50144-194517--,00.html (accessed 2/11/13). 2 Phone call with MDE staff, 10/22/12. 3 U.S. Department of Agriculture, Afterschool Snacks website, www.fns.usda.gov/cnd/Afterschool/ default.htm (accessed 2/11/13). 4 U.S. Department of Agriculture, The School-based Afterschool Snack Program (N.p.: USDA, n.d.), www.fns.usda.gov/cnd/Afterschool/AfterschoolFactSheet.pdf (accessed 2/11/13). 1 96 Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade 97 – Child and Adult Care Food Program (CACFP) MDE Overview "The Child and Adult Care Food Program (CACFP) provides federal funds to nonresidential child care facilities to serve nutritious meals and snacks. The CACFP plays a vital role in improving the quality of child care and making it affordable for many families requiring child care. The goal of the CACFP is to improve and maintain the health and nutritional status of children in care while promoting the development of good eating habits." 1 Who Is Served? Group Served: CHILDREN PARENTS/CAREGIVERS Ages Served: Children birth–12; migrant children birth–15; and all handicapped children, regardless of age, if the majority of the enrollees in the child care center are ages 18 years old or younger; and youth through age 18 in eligible after school programs and emergency shelters. 2 Eligibility Criteria: "Children must be enrolled in the child care program and within the regulatory age limits …Eligible child care facilities include: licensed child care centers; Head Start programs; after school care programs; emergency shelters providing residential and food services to homeless children; family child care homes, including relative care providers; and some private, for-profit child care centers." 3 Children Served Birth–Preschool Age K–Grade 3 50,207 27,195 Total (Birth–Grade 3) 77,402 Note(s): Total enrollment data was provided by the MDE. MDE staff provided suggestions on how to approximate the age split of program participants. Data are for FY 2011. Dollars Invested Annually Federal Investment State Investment $58,683,193 $0 Total Investment $58,683,193 Note(s): The total investment in children birth–grade 3 was estimated using total program spending (provided by MDE program materials) and assumes spending splits proportionally based on the number of children served. Data are from FY 2011. Michigan Department of Education, Child and Adult Care Food Program website, www.michigan.gov/mde/ 0,1607,7-140-43092_25656---,00.html (accessed 2/11/13). 2 Ibid. 3 Ibid. 1 98 Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade 99 – Child Development and Care (CDC) Program MDE Overview The goal of the Child Development and Care (CDC) Program is "to provide children in very low-income families with high-quality, affordable and accessible early learning and development opportunities and to assist the family in achieving economic independence and self-sufficiency. Payments for care provided to eligible children are issued to the early childhood educator on behalf of the parent." 1 Who Is Served? Group Served: CHILDREN PARENTS/CAREGIVERS Ages Served: Children under age 13, and children ages 13–18 with restrictions 2 Eligibility Criteria: Parents/substitute parents may be eligible for CDC if they are unavailable to provide care because of: (1) family preservation, (2) high school completion, (3) an approved activity, and (4) employment. There are four eligibilty groups. Three are categorically eligible (and don't consider income, but still require a valid need reason): protective services, foster care, and FIP/EFIP-related. One requires documentation of valid need reason and income eligibility (which ranges from 120-173% of the federal poverty level depending on group/family size). 3 Note: Eligibility is determined by the Department of Human Services. 4 Children Served Birth–Preschool Age K–Grade 3 46,217 28,366 Total (Birth–Grade 3) 74,583 Note(s): Data were provided by the MDE and are from FY 2012. Dollars Invested Annually Federal Investment State Investment $102,358,344 $34,119,448 Total Investment $136,477,792 Note(s): Data were provided by the MDE and are from FY 2012. Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade Michigan Department of Education. (2012) OGS Legislative Budget Summary. Internal Document. Michigan Department of Human Services. (2012) CDC Program Requirements. http://www.mfia.state.mi.us/ olmweb/ex/bem/703.pdf (accessed 4/2/13). 3 Ibid. 4 OGS Legislative Budget Summary 1 2 100 Commodity Supplemental Food Program (CSFP) MDE Overview The Commodity Supplemental Food Program (CSFP) is administered by the Food Distribution Unit, and "is designed to improve the health of low-income elderly 60 years and older, pregnant and postpartum women, infants, [and] children under six years of age by supplementing their diets with nutritious USDA donated foods." 1 Who Is Served? Group Served: CHILDREN PARENTS/CAREGIVERS Ages Served: Birth–6, pregnant and postpartum women, and seniors ages 60 and older Eligibility Criteria: Mothers and children must have an income at or below 185% of the federal poverty level. Seniors must have a household income at or below 130% of the federal poverty level. 2 Children Served Birth–Preschool Age K–Grade 3 42,746 19,365 Total (Birth–Grade 3) 62,111 Note(s): The number of children served was estimated using total program enrollment and the number of children in households with income under 200% of the federal poverty level. Data are from FY 2011. Dollars Invested Annually Federal Investment State Investment $1,601,062 $0 Total Investment $1,601,062 Note(s): The total investment in children birth–grade 3 was estimated using total program spending (provided by MDE) and assumes spending splits proportionally based on the number of children served. Data are from FY 2011. Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade – Michigan Department of Education Food Distribution Program website, www.michigan.gov/mde/0,4615,7-140-43092_61446--,00.html (accessed 2/11/13) and phone call with MDE staff, 10/22/12. 2 Michigan Department of Education, Commodity Supplemental Food Program (CSFP) Manual (Lansing, Mich.: MDE, May 2011), www.michigan.gov/documents/mde/CSFP_Manual_257555_7.pdf (accessed 2/11/13). 1 101 Early Childhood Block Grant: Great Parents, Great Start MDE Overview "[Great Parents, Great Start] grants are awarded to intermediate school districts for collaborative community parent education efforts focused on families with preschool children birth to age five. Programs are designed to improve school readiness and foster the maintenance of stable families by encouraging positive parenting skills. Programs should include at least all of the following service components for parents: information on the development of children from birth to age five, and examples of learning opportunities that promote their development, methods to enhance parent-child interaction to promote comprehensive development of infants and toddlers, promotion of access to needed community services through a community-school-home partnership." 1 Who Is Served? Group Served: CHILDREN PARENTS/CAREGIVERS Ages Served: Families with children ages birth–5 2 Eligibility Criteria: Great Parents, Great Start targets both a universal population (all families with children birth to five) and a population for more intensive services (families with children 0–5 for families of high risk). 3 Children Served Birth–Preschool Age K–Grade 3 12,518 0 Total (Birth–Grade 3) 12,518 Note(s): Data were provided by the MDE and are from July 1, 2011 through June 30, 2012. Dollars Invested Annually Federal Investment State Investment $0 $5,000,000 Total Investment $5,000,000 Note(s): Data were provided by the MDE and are from FY 2012. Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade Michigan Department of Education. (2012) OGS Legislative Budget Summary. Internal Document. E-mail from MDE staff, 10/22/12. 3 Ibid. 1 2 102 Early Childhood Block Grant: Great Start Collaboratives (GSCs) and Parent Coalitions (GSPCs) MDE Overview "Each Great Start Collaborative (GSC) is charged with overseeing the planning, implementation and ongoing improvement of an infrastructure designed to support a local, comprehensive early childhood system. Their mission, based upon a two-year statewide process (2002‒2004) that involved citizens from all parts of the state that ultimately led to the Great Start initiative, aims to ensure that all Michigan children enter school safe, healthy, and eager to succeed in school and life. Each Collaborative commits to a set of activities designed to assess community capacity and challenges, to develop strategic plans to improve services for children [from] birth to 5 years of age and their families, and to increase local understanding and involvement in this issue. In addition, a priority is placed on engaging parents in local efforts through parent involvement on the Collaborative and the development of local Great Start Parent Coalitions." 1 Training and technical assistance for the Great Start Collaboratives and Parent Colaitions is provided by the Early Childhood Investment Corporation (ECIC). Who Is Served? Group Served: Ages Served: INFRASTRUCTURE (no direct service) N/A Eligibility Criteria: N/A Children Served Birth–Preschool Age K–Grade 3 N/A N/A Total (Birth–Grade 3) N/A Dollars Invested Annually Federal Investment State Investment $0 $5,900,000 Total Investment $5,900,000 Note(s): Data were provided by the MDE and are from FY 2012. Early Childhood Outcome Addressed Children are… 1 Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade Michigan Department of Education. (2012) OGS Legislative Budget Summary. Internal Document. 103 Early Head Start N/A 1 Overview "Early Head Start (EHS) serves children from birth to 3 years of age. EHS provides support to low-income infants, toddlers, pregnant women and their families. Early Head Start programs enhance children’s physical, social, emotional, and intellectual development; assist pregnant women to access comprehensive prenatal and postpartum care; support parents’ efforts to fulfill their parental roles; and help parents move toward selfsufficiency." 2 Who Is Served? Group Served: CHILDREN PARENTS/CAREGIVERS Ages Served: Families with children under age 3 and pregnant women 3 Eligibility Criteria: "Children ... from families with incomes below the poverty guidelines are eligible for Head Start and Early Head Start services. Children from homeless families, and families receiving public assistance such as TANF or SSI are also eligible. Foster children are eligible regardless of their foster family’s income." 4 Children Served Birth–Preschool Age K–Grade 3 3,673 0 Total (Birth–Grade 3) 3,673 Note(s): Data were provided by the MDE and are from FY 2012. The number of children served represents the total funded enrollment. Dollars Invested Annually Federal Investment State Investment $42,455,432 $0 Total Investment $42,455,432 Note(s): Data were provided by the MDE and are from FY 2012. Early Head Start is not administered by MDE, rather local programs are funded and supported by the US Department of Health and Human Services. 2 Head Start State Collaboration Office, Head Start in Michigan, Guide for Physicians and Health Care Providers (N.p.: Head Start State Collaboration Office, December 2011), http://michheadstart.org/sites/michheadstart. org/files/u6/HS%20Health%20Brochure.pdf (accessed 2/11/13). 3 U.S. Department of Health and Human Services, Head Start Act website, http://eclkc.ohs.acf.hhs.gov/hslc/ standards/Head%20Start%20Act/headstartact.html#645A (accessed 2/11/13). 4 Head Start Act. Participation in Head Start Programs. http://eclkc.ohs.acf.hhs.gov/hslc/standards/Head%20Start%20Act/headstartact.html#645. (accessed 4/2/13). 1 104 Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade 105 Early On® MDE Overview "Each State in the U.S. has an early intervention system. In Michigan, it is called Early On. This system of early intervention services is for infants and toddlers, birth to three years of age, with developmental delay(s) and/or disabilities, and their families. “Early On Michigan is the system of early intervention services for infants and toddlers, birth to three years of age, with developmental delays and/or disabilities. Early On supports families as their children learn and grow." 1 Who Is Served? Group Served: CHILDREN Ages Served: Birth until age 3 2 Eligibility Criteria: "Eligibility criteria for Early On fall under two categories: 1) developmental delay, and 2) established conditions. Children are evaluated by a multidisciplinary team using a comprehensive evaluation. Children are found eligible under developmental delay if they have a delay of 20 percent or 1 standard deviation below the mean in one or more developmental domains. A child is found eligible under established conditions when there is documentation of the diagnosis provided by a health or mental health care provider who is qualified to make the diagnosis." 3 Children Served Birth–Preschool Age K–Grade 3 20,485 0 Total (Birth–Grade 3) 20,485 Note(s): Data were provided by the MDE and are from FY 2012. Dollars Invested Annually Federal Investment State Investment $11,852,205 $0 Total Investment $11,852,205 Note(s): Data were provided by the MDE and are from FY 2012. Also note infant and toddler services and supports may be contributed through other locally controlled or accessed funding mechanisms, with Early On and Part B being what the federal law calls “payer of last resort.” Early On Michigan, What is Michigan Early On, www.1800earlyon.org/about.php?ID=1 (accessed 2/11/13). Ibid. 3 Early On Michigan. Early On Eligibility. www.michigan.gov/documents/mde/Eligibility_for_Early_On_ 352750_7.pdf (accessed 2/11/13). 1 2 106 Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade 107 Great Start to Quality MDE (with ECIC) Overview Great Start to Quality launched in Michigan in the fall of 2011. This tiered quality rating and improvement system has been designed to increase the quality of early learning and care provided in all licensed child care and preschool programs and includes unlicensed, subsidized providers within the quality improvement portion of the system. Great Start to Quality helps parents find the best child care and preschool for their child, and helps providers improve the care and education they give to children. Standards set by Great Start to Quality are used to rate child care and preschool programs to ensure that Michigan’s youngest children have high-quality early learning experiences. 1 Other components of Great Start to Quality include: Great Start to Quality Resource Centers, the Great Start to Quality STARS On Line Platform, Great Start CONNECT, and Teacher Education and Compensation Helps (TEACH)―a scholarship program for early childhood educators working in child care and preschool settings. 2 Who Is Served? Group Served: Ages Served: INFRASTRUCTURE (no direct service) N/A Eligibility Criteria: N/A Children Served Birth–Preschool Age K–Grade 3 N/A N/A Total (Birth–Grade 3) N/A Dollars Invested Annually Federal Investment State Investment $0 $12,723,000 Total Investment $12,723,000 Note(s): Data were provided by the MDE and are from FY 2012. Early Childhood Outcome Addressed Children are… 1 2 Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade The Early Childhood Investment Corporation, 2013. (E-mail from ECIC staff, 1/16/13) Ibid. 108 Great Start Readiness Program (GSRP) MDE Overview "GSRP-Formula provides formula driven state aid funds to public school districts and public school academies. GSRP-Competitive provides funding to agencies through a competitive application process. Intermediate school districts (ISDs) are the fiscal agents for GSRP grantees, expending funds on behalf of, and in coordination with, a group of formula consortium members or competitive (subcontractor) grantees. The purpose of the funding for both Formula and Competitive grantees is to provide preschool programs for four-year-old children who may be "at risk" of school failure. There is no cost to families, but enrolled children must qualify for the program. Both center-based and home-based models are available. All programs must provide strong family involvement and parent education components as well as preschool education." 1 Who Is Served? Group Served: CHILDREN Ages Served: Age 4 Eligibility Criteria: "There are eight consolidated risk factors. Based on the prevalence data, family income continues to be the most utilized factor in determining eligibility for GSRP. It was determined that tiered income eligibility was needed to ensure GSRP is finding and providing services to its target population and focusing on those most at risk. Therefore, family income has been split from one factor into two factors. Extremely low family income is defined as below 200 percent of the federal poverty level and low family income is defined as between 200 to 300 percent of the federal poverty level. In addition, as part of the prioritization process, at least 75 percent of children must be identified with one of these two factors: The eight risk factors used to determine GSRP eligibility are: 1. Extremely low family income 2. Low family income 3. Diagnosed disability or identified developmental delay 4. Severe or challenging behavior 5. Primary home language other than English 6. Parent(s) with low educational attainment 7. Abuse/neglect of child or parent 8. Environmental risk 2 Children Served Birth–Preschool Age K–Grade 3 30,669 0 Total (Birth–Grade 3) 30,669 Note(s): The number of children served represents the number of part-day “slots,” or spaces, available for use. Number of children served was provided by the MDE. Total served is for the 2011–12 school year. Michigan Department of Education, Great Start Readiness Program (GSRP) website, www.michigan.gov/ mde/0,1607,7-140-6530_6809_50451---,00.html (accessed 2/11/13). 2 Michigan Department of Education, GSRP Implementation Manual, Section: Eligibility (Lansing, Mich.: MDE, September 2011), www.michigan.gov/documents/mde/Eligibility_353313_7.pdf (accessed 2/11/13). 1 109 • Great Start Readiness Program (GSRP) • Dollars Invested Annually Federal Investment State Investment $0 $104,275,000 Total Investment $104,275,000 Note(s): Data were provided by the MDE (based on the appropriation) and are from FY 2012. Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade 110 Head Start N/A 1 Overview "Head Start is a federally funded early childhood program serving young children ages 3 to 5. Head Start promotes school readiness by providing a comprehensive early childhood program including education; physical, oral and mental health; parent education; community services; literacy promotion; transportation; nutrition; and physical activity." 2 Who Is Served? Group Served: CHILDREN Ages Served: Ages 3–5 PARENTS/CAREGIVERS Eligibility Criteria: "Children ... from families with incomes below the poverty guidelines are eligible for Head Start and Early Head Start services. Children from homeless families, and families receiving public assistance such as TANF or SSI are also eligible. Foster children are eligible regardless of their foster family’s income." 3 Children Served Birth–Preschool Age K–Grade 3 31,930 0 Total (Birth–Grade 3) 31,930 Note(s): The number of children served represents the number of part-day “slots,” or spaces, available for use. Data were provided by the MDE and are from FY 2012. Dollars Invested Annually Federal Investment State Investment $224,199,264 $0 Total Investment $224,199,264 Note(s): Data were provided by the MDE and are from FY 2012. Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade – Head Start is not administered by MDE, rather local programs are funded and supported by the US Department of Health and Human Services. 2 Head Start State Collaboration Office, Head Start in Michigan, Guide for Physicians and Health Care Providers (N.p.: Head Start State Collaboration Office, December 2011), http://michheadstart.org/sites/michheadstart. org/files/u6/HS%20Health%20Brochure.pdf (accessed 2/11/13). 3 Head Start Act. Participation in Head Start Programs. http://eclkc.ohs.acf.hhs.gov/hslc/standards/Head%20Start%20Act/headstartact.html#645. (accessed 4/2/13). 1 111 Head Start State Collaboration Office (HSSCO) MDE Overview "[The Head Start State Collaboration Office] HSSCO was established to create a visible presence for Head Start at the state level and support the development of multi-agency and public/private partnerships at the State level intended to assist in: building early childhood systems and access to comprehensive services and support for all low-income children; encourage widespread collaboration between Head Start and other appropriate programs, services, and initiatives; and to augment Head Start's capacity to be a partner in State initiatives on behalf of children and their families including the involvement of Head Start in State policies, plans, processes, and decisions affecting the Head Start target population and other low-income families." 1 Who Is Served? Group Served: Ages Served: INFRASTRUCTURE (no direct service) N/A Eligibility Criteria: N/A Children Served Birth–Preschool Age K–Grade 3 N/A N/A Total (Birth–Grade 3) N/A Dollars Invested Annually Federal Investment State Investment $225,000 $56,250 Total Investment $281,250 Note(s): Data were provided by the MDE and are from FY 2012. Early Childhood Outcome Addressed Children are… 1 Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade Michigan Department of Education. (2012) OGS Legislative Budget Summary. Internal Document. 112 K–12 Public School System MDE Overview Michigan maintains a free, public education system that serves children from kindergarten (commonly age 5) through twelth grade (commonly age 18). The K-12 system serves children through 549 local school districts and 256 public school academies (PSAs) – both of which are operated by and accountable to a local school board 1. The state provides funding, sets graduation requirements, requires that certain content standards are taught, and requires students participate in a series of standardized assessments. Local schools then provide direct services to children and make decisions around how to implement state standards and allocate funding. Who Is Served? Group Served: CHILDREN Ages Served: K–Grade 12 Eligibility Criteria: Students may enroll in kindergarten if they are five years of age by the date specified in the Revised School Code. For the 2012–13 school year, students must be five years of age on December 1. By the 2015–2016 school year, that date will shift to September 1. Parents of children who will turn five years of age by December 1 may choose to enroll their child in kindergarten if they notify the district in writing before June 1.2 Children Served Birth–Preschool Age K–Grade 3 0 460,886 Total (Birth–Grade 3) 460,886 Note(s): Data were provided by MDE headcount and are from FY 2012. Dollars Invested Annually Federal Investment State Investment $0 $3,359,673,543 Total Investment $3,359,673,543 Note(s): The total investment in children birth–grade 3 was estimated by summing the total number of children served in grades K–3 for each district by the per pupil foundation grant for the district. Data are from FY 2012. Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade – Michigan Department of Education. Number of Public School Districts in Michigan. http://www.michigan.gov/documents/numbsch_26940_7.pdf (accessed 4/2/13). 2 State of Michigan. The Revised School Code: 380.1147, http://www.legislature.mi.gov/%28S%28q4pm 0q551fhggp55v53xtp45%29%29/mileg.aspx?page=GetObject&objectname=mcl-380-1147 (accessed 3/11/13). 1 113 Migrant Education Program MDE Overview "The Migrant Education Program is designed to support high-quality comprehensive educational programs for migratory children to help reduce the educational disruptions and other problems that result from repeated moves. The program provides educational and support services to migrant children and youth through both regular school year and summer programs ... The program also supports identification and recruitment activities across the state to locate migrant families and inform them of available services." 1 Who Is Served? Group Served: CHILDREN Ages Served: Birth–21 2 Eligibility Criteria: Children are eligible if they have experienced a qualifying move in the previous 36 months. A qualifying move is a move made to obtain temporary or seasonal work in agriculture or fishing. A child may make a qualifying move if they have moved with or moved to join an adult who was seeking qualifying work (temporary or seasonal work in agriculture or fishing) within the last 36 months. A child may make a qualifying move separate from the family if it is for the purpose of obtaining qualifying work for themselves, as in the case of a young adult. Priority is given to children who are not achieving core academic curriculum standards and whose education has been interrupted during the regular school year. 3 Children Served Birth–Preschool Age K–Grade 3 1,866 1,738 Total (Birth–Grade 3) 3,604 Note(s): Data were provided by the MDE and are from FY 2012. Dollars Invested Annually Federal Investment State Investment $4,794,336 $0 Total Investment $4,794,336 Note(s): Data were provided by the MDE and are from FY 2012. Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade Michigan Department of Education, Migrant Education Program website, www.michigan.gov/ mde/0,1607,7-140-6530_30334_38824---,00.html (accessed 2/11/13). 2 E-mail from MDE staff, 10/29/12. 3 Migrant Education Program website and e-mail update from MDE staff, 1/22/13. 1 114 National School Lunch Program (NSLP) MDE Overview "The National School Lunch Program (NSLP) provides nutritious, low cost, or free lunches to school age children in public and private schools, public school academies, and residential child care institutions throughout Michigan." 1 Who Is Served? Group Served: CHILDREN Ages Served: PreK–Grade 12 (Note: PreK students are eligible if the program is administered by the Local Education Agency [LEA] or private school.) 2 Eligibility Criteria: "Children from families with incomes at or below 130 percent of the poverty level are eligible for free meals. Those with incomes between 130 percent and 185 percent of the poverty level are eligible for reduced‐price meals, for which students can be charged no more than 40 cents. (For the period July 1, 2012, through June 30, 2013, 130 percent of the poverty level is $29,965 for a family of four; 185 percent is $42,643.) Children from families with incomes over 185 percent of poverty pay a full price, though their meals are still subsidized to some extent. Local school food authorities set their own prices for full‐price (paid) meals, but must operate their meal services as non‐profit programs." 3 Children Served Birth–Preschool Age K–Grade 3 19,551 272,261 Total (Birth–Grade 3) 291,812 Note(s): The number of children served was estimated using total program enrollment (provided by MDE program materials) and data about students qualifying for free and reduced lunch. Data are from FY 2011. Dollars Invested Annually Federal Investment State Investment $88,823,504 $7,028,251 Total Investment $95,851,755 Note(s): The total investment in children birth–grade 3 was estimated using total program spending (provided by MDE program materials) and assumes spending splits proportionally based on the number of children served. Data are from FY 2011. 1 Michigan Department of Education, National School Lunch Program website, www.michigan.gov/mde/ 0,4615,7-140-43092_50144-194515--,00.html (accessed 2/13/13). 2 Phone call with MDE staff, 10/22/12. 3 U.S. Department of Agriculture, Food and Nutrition Service, National School Lunch Program (Alexandria, Va.: USDA, August 2012), www.fns.usda.gov/cnd/lunch/AboutLunch/NSLPFactSheet.pdf (accessed 2/13/13). 115 Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade 116 – School Breakfast Program (SBP) MDE Overview "The School Breakfast Program (SBP) provides cash assistance to States to operate nonprofit breakfast programs in schools and residential childcare institutions. It provides nutritious, low cost or free breakfasts to school age children in public and private schools, public school academies, and residential child care institutions throughout Michigan." 1 Who Is Served? Group Served: CHILDREN Ages Served: PreK–Grade 12 (Note: PreK students are eligible if the program is administered by the Local Education Agency [LEA] or private school.) 2 Eligibility Criteria: "Any child at a participating school may purchase a meal through the School Breakfast Program. Children from families with incomes at or below 130 percent of the Federal poverty level are eligible for free meals. Those with incomes between 130 percent and 185 percent of the poverty level are eligible for reduced‐price meals, for which students can be charged no more than 30 cents. (For the period July 1, 2012, through June 30, 2013, 130 percent of the poverty level is $29,965 for a family of four; 185 percent is $42,643) Children from families over 185 percent of poverty pay full price, though their meals are still subsidized to some extent." 3 Children Served Birth–Preschool Age K–Grade 3 7440 103,608 Total (Birth–Grade 3) 111,048 Note(s): The number of children served was estimated using total program enrollment (provided by MDE program materials) and data about students qualifying for free and reduced lunch. Data are from FY 2011. Dollars Invested Annually Federal Investment State Investment $28,003,287 $1,130,724 Total Investment $29,134,011 Note(s): The total investment in children birth–grade 3 was estimated using total program spending (provided by MDE program materials) and assumes spending splits proportionally based on the number of children served. Data are from FY 2011. Michigan Department of Education, School Breakfast Program website, www.michigan.gov/mde/0,4615,7-140-43092-194516-,00.html (accessed 2/13/13). 2 Phone call with MDE staff, 10/22/12. 3 U.S. Department of Agriculture, Food and Nutrition Service, The School Breakfast Program (Alexandria, Va.: USDA, August 2012), www.fns.usda.gov/cnd/breakfast/AboutBFast/SBPFactSheet.pdf (accessed 2/13/13). 1 117 Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade 118 – Section 31a – At-Risk MDE Overview "Section 31a of the State School Aid Act provides funding to eligible districts for supplementary instructional and pupil support services for pupils who meet the at-risk criteria specified in the legislation. ... The funds may also be used for class size reductions in grades 1–6 in schools above the district's poverty percentage. Section 31a funds are limited to direct services to pupils and may not be used for administrative or other related costs." 1 Who Is Served? Group Served: CHILDREN Ages Served: Birth to age 5, and K–Grade 12 Eligibility Criteria: "Students: [Eligible students must meet certain] criteria including low achievement on MEAP tests in mathematics, reading or science; failure to meet core academic curricular objectives in English language arts or mathematics (applies to grade K-3 pupils only); or the presence of two or more identified at-risk factors." 2 "Children birth–age 5 who meet the at-risk criteria used to determine eligibility of children for the Great Start Readiness Program (GSRP)" are also eligible.3 "Schools: Local school districts, PSAs and The Education Achievement System with a current year combined state and local revenue per membership pupil of less than or equal to the current year basic foundation allowance are eligible. A one-time application needs to be completed by new PSAs, The Education Achievement System or school districts that have not received Section 31a funds in the past." 4 Children Served Birth–Preschool Age K–Grade 3 Total (Birth–Grade 3) 7,392 241,615 249,007 Note(s): The number of children served was estimated using program eligibility criteria and the number of students qualifying for free and reduced lunch from ages 5–8. Data are from FY 2012. Dollars Invested Annually Federal Investment State Investment $0 $65,814,776 Total Investment $65,814,776 Note(s): Data were provided by the MDE and are from FY 2012. The total investment in children birth–grade 3 was estimated using total K–12 spending (provided by the MDE) and the number of students qualifying for free and reduced lunch from ages 5–8. Data are from FY 2012. Michigan Department of Education, Section 31a-At-Risk website, www.michigan.gov/mde/0,1607,7-140-6530_30334-43638-,00.html (accessed 2/13/13). 2 Ibid. 3 Michigan Department of Education, Office of Field Services, Section 31a Program for At-risk Pupils, Allowable Uses of Funds (Lansing, Mich.: MDE, 12/10/09, amended 8/30/12), www.michigan.gov/documents/mde/ Section_31a_Allowable_Uses_of_Funds_6-7-12_Update_388392_7.pdf (accessed 2/13/13). 4 Ibid. 1 119 Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade 120 Special Education MDE Overview Special Education services and programs are provided through Michigan's intermediate school districts (ISDs) and local school districts. A Free Appropriate Public Education (FAPE) is provided to all eligible children and students at no cost to their families. These services and/or programs are to be provided in the Least Restrictive Environment (LRE), meaning that a student who has a disability should have the opportunity to be educated with non-disabled peers, to the greatest extent appropriate. Components of Special Education in Michigan include: Early Childhood Special Education (Part B, 619 of IDEA) which provides services and/or programs for eligible children 3 to 5 years of age, School-age Special Education (Part B of IDEA) which is available to eligible students 6–21 years of age, and Michigan Mandatory Special Education (MMSE). MMSE is an additional mandate that spans beyond the federal IDEA mandate for eligible children 0–3 years of age and eligible students 22 through 25 years of age.1 Who Is Served? Group Served: CHILDREN Ages Served: Birth through 25 2 Eligibility Criteria: "The Individuals with Disabilities Education Act (IDEA) identifies the categories of disabilities that states must serve. The statute requires that all eligible children and youth be identified and provided appropriate services; a multidisciplinary team (the IEP team) develops an Individualized Education Program (IEP). "To be determined eligible, a child must: (1) be determined to be a child with a disability; and (2) be determined to need special education and related services in order to make progress in the general education curriculum. The delivery of an individualized education program to an eligible student is determined to constitute a free and appropriate public education or FAPE." 3 Children Served Birth–Preschool Age K–Grade 3 18,426 39,682 Total (Birth–Grade 3) 58,108 Note(s): Children served was estimated from the 2011 MDE report: Data Portrait: Special Education State-ISD Summary Report. This report provides counts for ages 0–2, 3–5, and 6–21. These counts were allocated based on the overall population of children by age in Michigan. Dollars Invested Annually Federal Investment State Investment $67,183,741 $180,710,047 Total Investment $247,893,788 Note(s): Special education spending for districts and ISDs, including transportation, was allocated based on the number of students served. Data are from 2012. E-mail from MDE staff, 10/31/12 Ibid. 3 Ibid. 1 2 121 • Special Education • Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade 122 Summer Food Service Program (SFSP) MDE Overview "The Summer Food Service Program (SFSP) was created to ensure that children in lower-income areas could continue to receive nutritious meals during long school vacations, when they do not have access to the National School Lunch or School Breakfast Programs." 1 Who Is Served? Group Served: CHILDREN Ages Served: Birth–18 years 2 Eligibility Criteria: "The SFSP Income Eligibility Standards are the same as those used for reduced-price eligibility in the National School Lunch and Breakfast Programs. Eligible participants include: (1) children who are 18 years of age or younger, (2) disabled persons, regardless of age, who are determined by MDE or a local public educational agency (school district or public school academy) to be mentally or physically disabled and who participate in a public or non-profit private school program established for the mentally or physically disabled." 3 Children Served Birth–Preschool Age K–Grade 3 3,231 44,997 Total (Birth–Grade 3) 48,228 Note(s): The number of children served was estimated using total program enrollment (provided by MDE program materials) and data about students qualifying for free and reduced lunch. Data are from FY 2011. Dollars Invested Annually Federal Investment State Investment $2,455,409 $0 Total Investment $2,455,409 Note(s): The total investment in children birth–grade 3 was estimated using total program spending (provided by MDE program materials) and assumes spending splits proportionally based on the number of children served. Data are from FY 2011. 1 Michigan Department of Education, About Summer Food Service Program website, www.michigan.gov/ mde/0,4615,7-140-43092_34491-108669--,00.html (accessed 2/15/13). 2 Michigan Department of Education Office of School Support Services, Summer Food Service Program Fact Sheet (Lansing, Michigan: MDE, January 2013), www.michigan.gov/documents/mde/2011_SFSP_FACT _SHEET_345369_7.pdf (accessed 2/15/13). 3 Ibid. 123 Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade 124 – The Emergency Food Assistance Program (TEFAP) MDE Overview The Emergency Food Assistance Program (TEFAP) is administered by the Food Distribution Unit in the MDE, and "supplements the diets of low-income persons of all ages, including elderly people, by providing emergency food and nutrition assistance." 1 Who Is Served? Group Served: CHILDREN PARENTS/CAREGIVERS Ages Served: All ages eligible 2 Eligibility Criteria: "TEFAP income qualification for households with a member at 60 years of age and older is 160% of the Poverty Income Guidelines and households with all members under 60 years is 130% of the Poverty Income Guidelines." 3 Children Served Birth–Preschool Age K–Grade 3 174,217 133,958 Total (Birth–Grade 3) 308,175 Note(s): Data were provided by the MDE and are from FY 2011. Dollars Invested Annually Federal Investment State Investment $4,432,073 $0 Total Investment $4,432,073 Note(s): The total investment in children birth–grade 3 was estimated using total program spending (provided by MDE program materials) and the number of children served in the Food Assistance Program. Data are from FY 2011. Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade – Michigan Department of Education, Food Distribution Program website, www.michigan.gov/mde/ 0,4615,7-140-43092_61446---,00.html (accessed 2/15/13). 2 Ibid. 3 Michigan Department of Education, Food Distribution Unit, The Emergency Food Assistance Program (TEFAP) Manual (Lansing, Mich.: May 2011), www.michigan.gov/documents/mde/TEFAPProgramManual_ updated_May_2011_Final_REV_6-01-11__354590_7.pdf (accessed 2/15/13). 1 125 Title I, Part A – Improving Basic Programs MDE Overview "The Title I, Part A program is designed to help disadvantaged children meet high academic standards by participating in either a schoolwide or a targeted assistance program. Schoolwide programs are implemented in high-poverty schools following a year of planning with external technical assistance and use Title I funds to upgrade the entire educational program of the school. Targeted assistance programs provide supplementary instruction to children who are failing or most at risk of failing to meet the district's core academic curriculum standards. School-based decision-making, professional development, and parent involvement are important components of each district's Title I, Part A program." 1 Who Is Served? Group Served: CHILDREN Ages Served: Early learning programs to grade 12 2 Eligibility Criteria: Schoolwide Programs - "A school that serves an eligible school attendance area in which not less than 40 percent of the children are from low-income families, or not less than 40 percent of the children enrolled in the school are from such families" is eligible for a schoolwide program. These schools are not required to identify individual children for participation. 3 Targeted Assistance Programs - Schools that do not qualify for (or choose not to operate) a schoolwide program, must identify and serve children that are "identified by the school as failing, or most at risk of failing, to meet the State's challenging student academic achievement standards." 4 Children Served Birth–Preschool Age K–Grade 3 10,577 241,615 Total (Birth–Grade 3) 252,192 Note(s): Data were provided by the MDE and are from FY 2010 (for birth–preschool age) and 2012 (for K–grade 3). Dollars Invested Annually Federal Investment State Investment $163,952,031 $0 Total Investment $163,952,031 Note(s): The total investment in children birth–grade 3 was estimated using total K–12 spending (provided by the MDE) and the number of students qualifying for free and reduced lunch from ages 5–8. Data are from FY 2012. Michigan Department of Education, Title I website, www.michigan.gov/mde/0,4615,7-140-28753-69709--,00.htm (accessed 2/15/13). 2 U.S. Department of Education, Part A-Improving Basic Programs Operated by Local Educational Agencies website, Section 1114, Schoolwide Programs, www2.ed.gov/policy/elsec/leg/esea02/pg2.html#sec1114 (accessed 2/15/13). 3 Ibid. 4 U.S. Department of Education, Part A-Improving Basic Programs Operated by Local Educational Agencies website, Section 1115, Schoolwide Programs, www2.ed.gov/policy/elsec/leg/esea02/pg2.html#sec1114 (accessed 2/15/13). 1 126 • Title I, Part A – Improving Basic Programs • Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade 127 Title II – Improving Teacher and Principal Quality MDE Overview "[Title II] supports partnerships between high-need [Local Education Agencies] LEAs, college/departments of teacher education, and college/departments of arts and sciences" to "increase academic achievement by improving teacher and principal quality. This program is carried out by: increasing the number of highly qualified teachers in classrooms; increasing the number of highly qualified principals and assistant principals in schools; and increasing the effectiveness of teachers and principals by holding LEAs and schools accountable for improvements in student academic achievement." 1 Who Is Served? Group Served: Ages Served: INFRASTRUCTURE (no direct service) N/A Eligibility Criteria: The MDE identifies eligible LEAs. To qualify LEAs must: (1) have indicated that at least one instructional staff member was not Highly Qualified, and (2) have over a 20% poverty rate according to data provided by the U.S. Census Bureau Small Area Income and Poverty Estimates. 2 Children Served Birth–Preschool Age K–Grade 3 N/A N/A Total (Birth–Grade 3) N/A Dollars Invested Annually Federal Investment State Investment $28,562,539 $0 Total Investment $28,562,539 Note(s): Data were provided by a report from the National Education Association and are from FY 2012. Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade U.S. Department of Education. Improving Teacher Quality State Grants. Program Description: www2.ed.gov/programs/teacherqual/index.html (accessed 3/12/13). 2 Michigan Department of Education, 2012-2013 Title II Part A(3) Improving Teacher Quality Grant Program website, Eligible Local Education Agency (LEA) partners, www.michigan.gov/mde/0,4615,7-140-6530_5683 _5703-137803--,00.html (accessed 2/15/13). 1 128 Title III – Language Instruction for Limited English Proficient Students MDE Overview "The Title III program is designed to assure speedy acquisition of English language proficiency, assist students to achieve in the core academic subjects, and to assist students to meet State standards. It also provides immigrant students with high-quality instruction to meet challenging State standards, and assists the transition of immigrant children and youth into American society." 1 Who Is Served? Group Served: CHILDREN Ages Served: Ages 3–21 years 2 Eligibility Criteria: Students age 3–21 must meet both of the following requirements to qualify as Limited English Proficient (English Learner): (1) The student’s home language survey states that a language other than English is spoken at home or that the student's native language is a language other than English; and (2) Assessment results show that the student is not proficient in English according to the Michigan English Language Proficiency Assessment (ELPA), and/or is not on grade level in reading or math according to state-approved, valid, and reliable reading and math assessments. 3 Children Served Birth–Preschool Age K–Grade 3 444 29,241 Total (Birth–Grade 3) 29,685 Note(s): Data were provided by the MDE and are from FY 2012. Dollars Invested Annually Federal Investment State Investment $3,810,805 $0 Total Investment $3,810,805 Note(s): Data were provided by the MDE and are from FY 2012. 1 Michigan Department of Education, English language learner programs website, www.michigan.gov/mde/ 0,1607,7-140-6530_30334_40078---,00.html (accessed 2/15/13). 2 E-mail from MDE staff, 10/28/12. 3 Michigan Department of Education, Office of Field Services, Special Populations Unit, English Learner Program Entrance and Exit Protocol 2012 (Lansing, Mich.: MDE, 2012), www.michigan.gov/documents/mde/ Entrance_and_Exit_Protocol_10.30.12_402532_7.pdf (accessed 2/15/13). 129 Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade 130 Child and Dependent Care Credit Treasury Overview The Child and Dependent Care Tax Credit is a federal subsidy in the form of a tax credit in which qualifying child care expenses may be claimed up to a certain percentage contingent on income. The credit may be worth up to $3,000 for child care expenses for one qualifying child and up to $6,000 for two or more qualifying children. Qualifying children must meet six tests: age, relationship, support, dependent, citizenship, and residence. The care that is provided to a qualifying child must be in order for the parent to work or to look for work. 1 Who Is Served? Group Served: Ages Served: PARENTS/CAREGIVERS Families with qualifying children under the age of 13 2 Eligibility Criteria: "The credit can be up to 35 percent of [the filer's] qualifying expenses, depending upon [his/her] adjusted gross income [AGI]." 3 The following percentages apply: for AGI that is over $0 but not over $15,000, 35% of work-related child care expenses qualifies to claim for credit; $15,000‒$17,000 = 34%; $17,000‒$19,000 = 33%; $19,000‒ $21,000 = 32%; $21,000‒$23,000 = 31%; $23,000‒$25,000 = 30%; $25,000‒ $27,000 = 29%; $27,000‒$29,000 = 28%; $29,000‒$31,000 = 27%; $31,000‒ $33,000 = 26%; $33,000‒$35,000 = 25%; $35,000‒$37,000 = 24%; $37,000‒ $39,000 = 23%; $39,000‒$41,000 = 22%; $41,000‒$43,000 = 21%; $43,000‒ No Limit = 20%. 4 Children Served Birth–Preschool Age K–Grade 3 104,622 104,622 Total (Birth–Grade 3) 209,244 Note(s): The number of children served was estimated using IRS Statistics of Income and U.S. Census data. Dollars Invested Annually Federal Investment State Investment $68,970,467 $0 Total Investment $68,970,467 Note(s): The annual investments were estimated using IRS Statistics of Income and U.S. Census data. U.S. Department of the Treasury, Internal Revenue Service, Ten Things to Know about the Child and Dependent Care Credit website: www.irs.gov/uac/Ten-Things-to-Know-About-the-Child-and-Dependent-Care-Credit (accessed 2/15/13). 2 Ibid. 3 Ibid. 4 U.S. Department of the Treasury, Internal Revenue Service, Child and Dependent Care Expenses (Publication 503) (Washington, D.C.: IRS, October 29, 2012), www.irs.gov/pub/irs-pdf/p503.pdf (accessed 2/15/13). 1 131 Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade 132 – Child Tax Credit Treasury Overview The Child Tax Credit is a federal tax credit that is worth up to $1,000 per qualifying child depending on the filer's income. Qualifying children must meet six tests: age, relationship, support, dependent, citizenship, and residence. 1 Who Is Served? Group Served: Ages Served: PARENTS/CAREGIVERS Families with qualifying children under age 17 2 Eligibility Criteria: "The credit is limited if [the filer's] modified adjusted gross income is above a certain amount. The amount at which this phase-out begins varies depending on [the filer's] filing status. For married taxpayers filing a joint return, the phase-out begins at $110,000. For married taxpayers filing a separate return, it begins at $55,000. For all other taxpayers, the phase-out begins at $75,000. In addition, the Child Tax Credit is generally limited by the amount of the income tax [the filer] owes as well as any alternative minimum tax [they] owe." 3 Children Served Birth–Preschool Age K–Grade 3 337,627 265,353 Total (Birth–Grade 3) 602,980 Note(s): The number of children served was estimated using IRS Statistics of Income, Brookings Institution data, and U.S. Census data. Dollars Invested Annually Federal Investment State Investment $521,019,719 $0 Total Investment $521,019,719 Note(s): The annual investments served were estimated using IRS Statistics of Income, Brookings Institution data, and U.S. Census data. Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade – – U.S. Department of the Treasury, Internal Revenue Service, Ten Facts about the Child Tax Credit website (last reviewed or updated 1/31/13), www.irs.gov/uac/Ten-Facts-about-the-Child-Tax-Credit (accessed 2/15/13). 2 Ibid. 3 Ibid. 1 133 Earned Income Tax Credit – Federal Treasury Overview "EITC, the Earned Income Tax Credit, sometimes called EIC, is a tax credit to help [filers] keep more of what [they] earned. It is a refundable federal income tax credit for low to moderate income working individuals and families. Congress originally approved the tax credit legislation in 1975 in part to offset the burden of social security taxes and to provide an incentive to work. When EITC exceeds the amount of taxes owed, it results in a tax refund to those who claim and qualify for the credit. To qualify, [filers] must meet certain requirements and file a tax return, even if you do not owe any tax or are not required to file." 1 Qualifying children must have a valid social security number and pass four tests: relationship, age, residency, and joint return.2 Who Is Served? Group Served: Ages Served: PARENTS/CAREGIVERS Families with qualifying children under age 19, or under age 24 (if the child is a fulltime student), or a child of any age if he or she is permanently disabled. Eligibility Criteria: "The income eligibility guidelines and maximum credit amounts for Tax Year 2012 are listed below: 3 • Families with one qualifying child who earned less than $36,920 in 2012 (or less than $42,130 for married workers filing jointly) are eligible for a credit of up to $3,169. • Families with two qualifying children who earned less than $41,952 in 2012 (or less than $47,162 for married workers filing jointly) are eligible for a credit of up to $5,236. • Families with three or more qualifying children who earned less than $45,060 in 2012 (or less than $50,270 for married workers filing jointly) are eligible for a credit of up to $5,891. • Workers without a qualifying child who earned less than $13,980 in 2012 (or less than $19,190 for married workers filing jointly) are eligible for a credit of up to $475. For everyone, investment income must be $3,200 or less for the year. Children Served Birth–Preschool Age K–Grade 3 257,741 186,862 Total (Birth–Grade 3) 444,603 Note(s): The number of children served was estimated using IRS and Michigan Department of Treasury data. U.S. Department of the Treasury, Internal Revenue Service, EITC Home Page—It’s easier than ever to find out if you qualify for EITC website (last reviewed or updated 3/4/13), www.irs.gov/Individuals/EITC-Home-Page--It%E2%80%99s-easier-than-everto-find-out-if-you-qualify-for-EITC (accessed 2/15/13). 2 U.S. Department of the Treasury, Internal Revenue Service, Qualifying Child Rules (last reviewed or updated 2/1/13), www.irs.gov/Individuals/Qualifying-Child-Rules (accessed 2/15/13). 3 Michigan EITC website, www.michiganeic.org/about (accessed 2/15/13). 1 134 • Earned Income Tax Credit – Federal • Dollars Invested Annually Federal Investment State Investment $831,394,938 $0 Total Investment $831,394,938 Note(s): The annual investments served were estimated using IRS and Michigan Department of Treasury data. Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade – 135 – Earned Income Tax Credit – Michigan Treasury Overview "EITC, the Earned Income Tax Credit, sometimes called EIC is a tax credit to help [filers] keep more of what [they] earned. It is a refundable federal [and state] income tax credit for low to moderate income working individuals and families... When EITC exceeds the amount of taxes owed, it results in a tax refund to those who claim and qualify for the credit. To qualify, [filers] must meet certain requirements and file a tax return, even if [filers] do not owe any tax or are not required to file." 1 Michigan's state credit is equal to 6 percent of a filer's federal credit. 2 Qualifying children must have a valid social security number and pass four tests: relationship, age, residency, and joint return.3 Who Is Served? Group Served: Ages Served: PARENTS/CAREGIVERS Families with qualifying children younger than 19, or younger than 24 (if the child is a full-time student), or a child of any age if he or she is permanently disabled. Eligibility Criteria: "The income eligibility guidelines and maximum credit amounts for Tax Year 2012 are listed below: 4 • Families with one qualifying child who earn less than $36,920 in 2012 (or less than $42,130 for married workers filing jointly) are eligible for a credit of up to $3,169. • Families with two qualifying children who earn less than $41,952 in 2012 (or less than $47,162 for married workers filing jointly) are eligible for a credit of up to $5,236. • Families with three or more qualifying children who earn less than $45,060 in 2012 (or less than $50,270 for married workers filing jointly) are eligible for a credit of up to $5,891. • Workers without a qualifying child who earn less than $13,980 in 2012 (or less than $19,190 for married workers filing jointly) are eligible for a credit of up to $475. "For everyone, investment income must be $3,200 or less for the year." 5 Children Served Birth–Preschool Age K–Grade 3 248,264 179,991 Total (Birth–Grade 3) 428,255 Note(s): The number of children served was estimated using IRS and Michigan Department of Treasury data. U.S. Department of the Treasury, Internal Revenue Service, EITC Home Page—It’s easier than ever to find out if you qualify for EITC website (last reviewed or updated 3/4/13), www.irs.gov/Individuals/EITC-Home-Page--It%E2%80%99s-easier-than-everto-find-out-if-you-qualify-for-EITC (accessed 2/15/13). 2 Michigan EITC website, What is the Earned Income Tax Credit?, www.michiganeic.org/taxpayers/i-can-e-file-free-online-taxpreparation (accessed 2/15/13). 3 U.S. Department of the Treasury, Internal Revenue Service, Qualifying Child Rules website (last reviewed or updated 2/1/13), IRS: www.irs.gov/Individuals/Qualifying-Child-Rules (accessed 2/15/13). 4 Michigan EITC website, www.michiganeic.org/about (accessed 2/15/13). 5 Ibid. 1 136 • Earned Income Tax Credit – Michigan • Dollars Invested Annually Federal Investment State Investment $0 $48,049,479 Total Investment $48,049,479 Note(s): The annual investments served were estimated using IRS and Michigan Department of Treasury data. Early Childhood Outcome Addressed Children are… Born healthy Healthy, thriving, and developmentally on track from birth to 3rd grade – Prepared to succeed in Developmentally ready 4th grade and beyond to succeed in school at by reading proficiently time of school entry by the end of 3rd grade – 137 – Appendix Methodology: Program Inventory Estimates Overview The early childhood program inventory is a comprehensive look at state and federal programs supporting young children in Michigan and their families. Young children are defined as those 8 years old or younger. The program inventory contains a summary of the number of children served by the program and the dollars spent on children by each of these programs. In some cases, very accurate caseload and spending information was available for the programs, while in other cases it was necessary to estimate caseload and spending information. This appendix contains a brief description of the methodology used to derive the estimates for each Note: Throughout the program program in the inventory. As mentioned above, the inventory and this report, two age administering department is not always able to provide ranges are discussed. “Birth to exact caseload and spending information that directly preschool age” refers to children corresponds to the age categories in the program ages 0–4. “Kindergarten to grade 3” inventory. For example, an agency may be able to refers to children ages 5–8. provide the number of children ages 0–18 served by a program, but it might not have information on how many of these children fall into the age categories of birth to preschool age (0–4) and kindergarten to grade 3 (5–8). 1 In these cases, the totals for the age categories were estimated from the best data available. The data and methodology used in developing each of these estimates are described below. Census Information In many instances where exact counts of the number of young children served were unavailable, the agency was able to provide a count of the number of children served ages 0–18. In many such cases the number of children ages 0–8 was estimated using U.S. Census data. Two primary types of Census data were used: Census data by age and the Census age data further subdivided into the number at each age based on income. Michigan Census data by age were used to obtain a total count of the number of children at every age. In other words, the Census has the number of children in Michigan age 0, age 1, age 2, etc. (These data can be found at: www.census.gov/popest/data/state/asrh/2011/.) At the time these estimates were calculated, 2011 was the most recent year available for population by age. Population by age was estimated for 2012 by shifting all of the 2011 data one year forward. The number of children age 1 in 2011 was assumed to be the number of children age 2 in 2012. The number of children in 2012 age 0 (i.e., birth to age 1) was estimated by assuming the number of children age 0 was lower than the number of 2012 children age 1 (or alternatively the number of 2011 children age 0) by the average percentage decline in the age 0 population over the past 4 years. The number of young One of the challenges in creating these estimates was determining how to calculate estimates for children at ages 4 and 5 when some children are enrolled in preschool programs, while others are attending kindergarten. To ensure that funding intended for preschool children is reported separately from funding intended to serve school-aged children, this report assumes that programs serving preschool children serve children ages 0–4, and programs serving school-aged children serve children ages 5–8. 1 138 • Appendix • Methodology: Program Inventory Estimates children in Michigan has been declining for demographic reasons. For example, in 2011, there were 122,320 five-year-olds, but just 113,146 children age zero. The second type of Census data used was obtained by subdividing the children by age data into the number at each age based on income. Specifically, the population counts were divided into those at 100 percent, 150 percent, 200 percent, and 300 percent of the poverty line. These percentages were calculated using the 3-year American Community Survey (ACS) sample. The 3 percent sample contains data from 2008, 2009, and 2010. While this is less current than the 1 percent 2010 sample, the larger 3 percent sample has less sampling error with respect to estimating poverty by age. When dividing a year of age into each of the poverty brackets, one poverty rate was used for children ages 0–4 and a second for children 5–18. For example, 25.7 percent of children ages 0–4 were estimated to be below 100 percent of poverty and 20.6 percent of ages 5–18. The poverty rate was not calculated separately for each year of age because the small cell sizes would result in unacceptably large sampling errors. When examining the data in the 3 percent sample, the poverty rate was relatively constant across ages for children ages 5 and up. 2 Individual Program Estimate Methodology Community Health Estimates • Childhood Lead Poisoning Prevention Program (CLPPP) Program spending was provided by the DCH. The number served is not applicable for this program since it provides administrative support. The cost of administering tests is funded by Medicaid. Data are from 2012. • Children with Serious Emotional Disturbance Home & Community Based Services Waiver Program spending and caseload information were provided by the DCH. Data are from FY 2011. • Children’s Special Health Care Services (CSHCS) Program spending and caseload information were provided by the DCH. Data are from FY 2012. • Children’s Waiver Program (CWP) Program spending and caseload information were provided by the DCH. Data are from FY 2011. • Dental Services: Healthy Kids Dental Program spending and caseload information were provided by the DCH. Data are from FY 2011. • Dental Services: SEAL! Michigan Program Program spending was provided by the DCH. The number of participants by age was taken from DCH program materials. Dollars are assumed to split proportionally with the number of participants. Expenditure data are from FY 2012. Caseload data are from the FY 2010–2011 school year. The raw ACS data were from: Steven Ruggles, J. Trent Alexander, Katie Genadek, Ronald Goeken, Matthew B. Schroeder, and Matthew Sobek, Integrated Public Use Microdata Series: Version 5.0 [Machine-readable database]. Minneapolis: University of Minnesota, 2010. Staff at the Citizens Research Council of Michigan performed the calculations using these data. 2 139 • Appendix • Methodology: Program Inventory Estimates • Early Childhood Comprehensive System Grant Funding was provided by the DCH. This program supports program infrastructure so caseload counts are not applicable. All funding was assumed to support programs for children ages 0–4. Data are from FY 2012. • Early Hearing Detection and Intervention (EHDI) Program spending and caseload information were provided by the DCH. Data are from FY 2012. • Family Center for Children and Youth with Special Health Care Needs Program funding was provided by the DCH. Funding was split into two age categories based on each category’s share of the under-18 population. Spending data are from FY 2012. • Family Planning: Plan First! Program funding was provided by the DCH. All dollars were allocated to ages 0–4. Data are from FY 2012. • Family Planning: Title X Program funding was provided by the DCH. All dollars were allocated to ages 0–4. Data are from FY 2012. • Family Support Subsidy (FSS) Program Program spending and caseload information were provided by the DCH. Data are from FY 2012. • Fetal Alcohol Spectrum Disorder (FASD) Program funding and caseload information were provided by the DCH. Spending data are from FY 2012 and the number of children served is for FY 2010-11. • Fetal-Infant Mortality Review Total spending was provided by the DCH. The number of children served is not applicable. Data are from FY 2012. • Hearing Screening Total program spending and the total number of children served were provided by the DCH. Program information indicated that screenings occurred at least once between ages 3–5 and in kindergarten, grade 2, and grade 4. The estimate assumed that children were tested at ages 4, 5, 7, and 9 and that the screenings split proportionally based on each age’s share of the total number of children for that age. The dollars are assumed to split proportionally with the number of children tested. Data are from FY 2012. • Home-Based Services Intervention Program spending and caseload information were provided by the DCH. Data are from FY 2011. • Home Visiting Initiative–MIECHV Caseload information for this program is not yet available. Public Act 291 of 2012 requires that home visiting data be reported in FY 2014. Spending data were provided by the DCH and were from FY 2011. 140 • Appendix • Methodology: Program Inventory Estimates • Immunization Program Total spending for the immunization program was provided by the DCH for FY 2012. The DCH also provided the total number of children served by the program for ages 0 to 4 and 5 to 8. Information on spending by age was not available, so the program dollars were split proportionally with the number of children. • Infant Death Prevention and Bereavement Spending information was provided by the DCH. Data are from FY 2012. • Local Maternal & Child Health (LMCH) Program DCH program description materials provided total program spending and the number of children served ages 0–9 and ages 10–19. The number of children ages 0–9 was split into the number of children ages 0–4, 5–8, and over 8 based on the respective shares of children ages 0–9 in these age categories that were below 150 percent of the poverty line. The dollars were assumed to split proportionally with the program recipients. Data are from FY 2011. • Maternal Infant Health Program (MIHP) Program spending and caseload information were provided by the DCH. The data are for FY 2012. • MCH Medicaid Outreach Total program spending was provided by the DCH staff. The number of children served was not available because data are not collected based on services to individuals. Data are from FY 2012. • Medicaid Health Care Program spending and caseload information were provided by the DCH. Data are from FY 2011. • Michigan Maternal Mortality Surveillance Program Program spending was provided by the DCH. Data are from FY 2012. • MIChild Program spending and caseload information were provided by the DCH. Data are from FY 2011. • MI Healthy Baby Program spending was provided by the DCH. Caseloads are not applicable for this program. Data are from FY 2012. Note that federal funding for this program was eliminated after FY 2012. • Newborn Screening Program Program spending and caseload information were provided by the DCH. Data are from FY 2012. • Nurse Family Partnership Total spending and caseload information were provided by the DCH. Data are from FY 2012. • Obesity Prevention in Early Learning and Development Programs Utilizing NAP SACC Information on program spending and enrollment was provided by the DCH. The program enrollment totals indicated that they were for ages 0–5. Because the program serves children in a preschool setting, this estimate counted all of those children in the birth-preschool age category (also referred to as ages 0 to 4). Data are from FY 2012. 141 • Appendix • Methodology: Program Inventory Estimates • Parent Leadership Total program spending was provided by the DCH. Funding split into age categories based on the share of children ages 0–18 that are 0–4 and 5–8. The number of children served is listed as not applicable because this program directly serves parents. Data are from FY 2012. • Pediatric Aids Prevention and Support Program spending and caseload information were provided by the DCH. Data are from FY 2012. • Pregnancy Risk Assessment Monitoring System (PRAMS) Program spending was provided by the DCH. Data are from FY 2012. • Prenatal Smoking Cessation (PSC) Program spending was provided by the DCH. Data are from FY 2012. • Prevention Direct Services: Child Care Expulsion Prevention Program Program spending and caseload information were provided by the DCH. Data are from FY 2011. • Prevention Direct Services: Infant Mental Health Program spending and caseload information were provided by the DCH. Data are from FY 2011. • Prevention Direct Services: Other Models Program spending and caseload information were provided by the DCH. Data are from FY 2011. • Project LAUNCH Total spending and caseload information were provided by the DCH. Project LAUNCH serves children ages 0–8. The totals for ages 0 to 8 were subdivided into ages 0–4 and 5–8 based on the overall share each of these age groups makes up of the 0 to 8 population in Michigan. Dollars were split proportionally with the number served. Spending data are from FY 2012. Number of children served is for FY 2011. • Safe Delivery Program information was provided by the DCH. Spending is for FY 2012. Number of children served is for CY 2012. • Safe Sleep Program spending was provided by the DCH. Caseload data are not applicable. Data are from FY 2012. • School-Based Services Program spending and caseload information were provided by the DCH. Data are from FY 2011. • Shaping Positive Lifestyles and Attitudes through School Health (SPLASH) Program information was provided by the DCH. Data are from FY 2012. • Substance Abuse Treatment: Designated Women’s Programs Program spending and caseload information were provided by the DCH. Data are from FY 2012. 142 • Appendix • Methodology: Program Inventory Estimates • Vision Screening Total spenidng and caseload information were provided by the DCH. DCH program description materials indicated that children are tested at least once between the ages of 3 and 5 for preschoolers and in grades 1, 3, 5, 7, and 9. The estimate assumes that children are tested at ages 4, 6, 8, 10, 12, and 14 and splits the number of screenings and dollars into these buckets based on the proportional share of the population in each of these age brackets. Data are from FY 2012. • WIC Project FRESH Program spending and caseload information were provided by the DCH. • Women, Infants, & Children (WIC) Program spending and caseload information were provided by the DCH. Human Services Estimates • Adoption Services Program The total dollars spent for the adoption services program was based on the FY 2012 DHS line item appropriation for Adoption Support Services. The DHS provided the total number of adoptions in the state and the total number of adoptions in the age categories 0–4 and 5–8. The dollars were assumed to split proportionally with the number of adoptions. The number of adoptions is for FY 2011. • Adoption Subsidy The total dollars for the adoption subsidy was based on the FY 2012 DHS line item appropriation for Adoption Subsidies. The DHS provided the total number of children served by the adoptions subsidy and the total number in the age categories 0–4 and 5–8. The dollars were assumed to split proportionally with the number of children served. Caseloads are as of June 2011. • Child Care Licensing The starting point for this estimate was the line item appropriation for Adult Foster Care, Children’s Welfare, and Day Care Licensure in the FY 2012 DHS budget. The number of children served is listed as N/A because the program does not directly serve children. The spending is split between Pre–K and K–3 based on estimates used for the Childcare Development Fund (CDF). • Children’s Protective Services The starting point for dollars spent was the FY 2012 DHS line item appropriation for Child Protective Services. This line item was increased by 60 percent per a DHS recommendation in order to reflect the cost of fringe benefits for staff. The grand total of all investigated children ages 0–18 and the number of investigated children ages 0–4 and 5–8 was provided by DHS. The dollars were assumed to split proportionally with the number of children. The caseload data are from FY 2011. • Children’s Trust Fund Direct Service Grants Program spending was calculated by summing the direct service grants reported by CTF on its Web page (www.michigan.gov/ctf). CTF program materials also report the total number of children served. The number of children ages 0–4 and 5–8 was estimated from this total based on the proportional share of children in these age categories that are below the poverty line. Spending was assumed to be proportional to the number of children served. Data on the number of children served are from FY 2010. 143 • Appendix • Methodology: Program Inventory Estimates • Children’s Trust Fund Local Councils Program spending was provided by the DHS. This program does not directly serve children so the reported total was N/A. Spending is split into the age categories 0–4 and 5–8 using the same proportions that were used for the Children’s Trust Fund Service Grants. • Child Support Administration The estimate started with the DHS line item appropriations for: Child Support Enforcement, Legal Support Contracts, Child Support Incentive Payments, Child Support Automation, and State Disbursement Unit. The starting point for enrollment was the number of children reported by the DHS to be in the IV-D child support program in 2011. The dollars and the number of children were split proportionally based on the number of children ages 0–18 who are ages 0–4 (23.8 percent) and 5–8 (20.5 percent). • Families First of Michigan (FFM) This estimate started with the total FY 2012 appropriation for Families First. The number of families served in FY 2012 was provided by the DHS. Each family was assumed to have 2.39 children. This total is based on the ratio of Family Independence Program (FIP) children to FIP adults. The number of families and the number of children per family were multiplied to calculate an estimated number of children served. The percentage of these children ages 0–4 and 5–8 was based on the estimates used for Child Protective Services. The dollars were assumed to split proportionally based on the number of children. • Family Independence Program (FIP) This estimate started with the total FY 2012 appropriation for FIP. The DHS Green Book contains the total number of children served by FIP and the number of children ages 0–4 and 5–8. The report used had data for the number of children as of August 2012. Program dollars were allocated proportionally to the age categories based on the number of children in each category. The estimate assumes that all program dollars are used to support children, and does not allocate any of the dollars to supporting adults. • Family Reunification Program (FRP) This estimate started with the FY 2012 appropriation for Family Reunification. The total number of families served in FY 2012 was provided by the DHS. The number of children served was estimated using the ratio of adults to children in the FIP program. The split into the age categories was calculated using the same methodology that was used for Child Protective Services. • Food Assistance Program (FAP) This estimate started with the FY 2012 appropriation for the Food Assistance Program. The total number of program recipients and the total number of children ages 0–4 and ages 5–8 were taken from the DHS Green Book. The caseload data are from August of 2012. The dollars were split proportionally based on the percentage of recipients in the age categories. The assumption used to apportion dollars for FAP differs from that of FIP. For FIP, all spending was assumed to go to support children, while for FAP, spending was assumed to support both adults and children based on their proportional representation among program recipients. • Foster Care The DHS provided information on the number of children enrolled in the program both in total and for the 0–4 and 5–8 age brackets for FY 2012. The DHS also provided FY 2012 spending for the 144 • Appendix • Methodology: Program Inventory Estimates program in total. The dollars were split proportionally into the age brackets based on the number of children. • Guardianship Assistance Program (GAP) The total number of children enrolled for FY 2012 was taken from DHS program materials. Enrollment was split into ages 0–4 and 5–8 using the same proportional split as Foster Care. Total spending was the FY 2012 line item appropriation for the Guardianship program. Spending was split by age proportionally based on the number of children served. • Refugee Assistance Program (RAP) The DHS provided program information and spending totals. Minor adjustments to the estimates were made to account for the unaccompanied minor program. • Strong Families/Safe Children This estimate started with the FY 2012 appropriation for Strong Families Safe Children. The total number of families served was taken from the DHS program description. Each family was assumed to have 2.39 children based on the ratio of FIP children to FIP adults. Children were split into the 0–4 and 5–8 age brackets using the same assumptions as Child Protective Services. Early Childhood Investment Corporation Estimates • Great Start Early Learning Advisory Council Spending data were provided by the Early Childhood Investment Council and are from FY 2012. Education Estimates • 21st Century Community Learning Centers (21st CCLC) Total spending and caseload information for this program are taken from MDE program materials. Spending data are for FY 2012, while caseload information is for FY 2010. The dollars and students were allocated to K–3 based on K–3 enrollment statewide as a percentage of total K–12 enrollment. • Afterschool Snack Program Total spending and total students served for the Afterschool Snack program for FY 2011 were taken from MDE program materials. Allocating this total to the appropriate age categories took several steps. First, free/reduced lunch headcount data by grade were downloaded. The total number of free/reduced lunch students was compared to total enrollment to obtain the share of K– 12 qualifying for free/reduced lunch. Total enrollment for pre–K was available, but not the share that qualified for free/reduced lunch. Therefore, pre–K was assumed to be eligible for free/reduced lunch at the same rate as the overall K–12 population. To allocate the totals to the age categories, it was assumed that the participants in the Afterschool Snack Program mirrored the free/reduced lunch population in proportion. For example, of the preK to 12 free/reduced lunch population, 31.5 percent were in grades K–3 and 2.3 percent were pre–K. Based on this, it was assumed that 31.5 percent of Afterschool Snack participants were grades K–3 and 2.3 percent were pre–K. The dollars were split proportionally based on number of students. 145 • Appendix • Methodology: Program Inventory Estimates • Child and Adult Care Food Program (CACFP) The estimates for this program are based on information received from the MDE. Average daily attendance and total payments were taken from the MDE fact sheet. Children at day care centers and home providers represent 85 percent of the children served by this program and 85 percent of the dollars spent. Of this total, 70 percent are ages 0-4 and 30 percent are ages 5-8.. Of the remaining children served by the program, MDE estimates that half are ages 5 to 8. Data are from FY 2011 • Child Development and Care (CDC) Program Program spending and caseload information were provided by the MDE. Data are from FY 2012 • Commodity Supplemental Food Program (CSFP) This program serves children and adults. The MDE provided total spending and the number of people served, and they were able to subdivide the data into age 0, ages 1–6, and adults served. The number served for ages 1–6 was split into ages 0–4 and 5–8 categories (with children ages 1-4 placed into the 0-4 category and children ages 5-6 placed into the 5-8 category) using the proportional share of these age categories among those from households with income under 200 percent of the poverty. The dollars were split proportionally based on the number served. Data are from FY 2011. • Early Childhood Block Grant: Great Parents, Great Start Program spending is from MDE program materials. The total number served was provided by MDE and covers the period July 1, 2011 through June 30, 2012. • Early Childhood Block Grant: Great Start Collaboratives (GSCs) and Parent Coalitions (GSPCs) Total spending is from MDE program materials and is for FY 2012. • Early Head Start Program spending and caseload information were provided by the MDE. Data are from FY 2012. • Early On® Program enrollment and spending information were provided by the MDE. Data are from FY 2012. • Great Start to Quality Total spending is from MDE program materials and is for FY 2012. Enrollment information is not applicable. • Great Start Readiness Program (GSRP) The number of children served and total spending are from MDE program materials. The number served is for the FY 2011–12 school year and the spending data are from FY 2012. • Head Start Total spending and enrollment were provided by the MDE. Data are from FY 2012. • Head Start State Collaboration Office (HSSCO) Total spending was provided by the MDE. Spending is for FY 2012. 146 • Appendix • Methodology: Program Inventory Estimates • K–12 Public School System Total enrolment is from MDE headcount data for grades K–3. Total spending represents the per pupil foundation allowance for each district multiplied by the number of students in the district in grades K–3. Data are from FY 2012. • Migrant Education Program Program data were provided by the MDE. Data are from FY 2012. • National School Lunch Program (NSLP) Total enrollment and spending were taken from MDE program materials. Allocations methods were the same as those used in the After School Snack Program. Data are from FY 2011. • School Breakfast Program (SBP) Total enrollment and spending were spending taken from MDE program materials. Allocation methods were the same as those used in the After School Snack Program. Data are from FY 2011. • Section 31a – At-Risk Total spending on Section 31a programs was taken from MDE program materials. Funding for Section 31a programs aimed at preschoolers was assumed to be for children ages 0–4. Program spending for ages 5–8 was estimated using the share of free/reduced lunch children in grades K– 3. In addition, 100 percent of the funding identified as “K-3 Early Intervening Programs” was assumed to go toward children ages 5–8. The number of children ages 0–4 was estimated using the number of children served by the two 31a programs directed at preschoolers. The student count for the remaining programs was not an unduplicated count. Therefore, the number of students ages 5–8 qualifying for free/reduced lunch was used as a proxy for the number of children in this age range served by Section 31a programs. • Special Education The number of children served was estimated from the 2011 report: Data Portrait: Special Education State-ISD Summary Report. This report provides special education counts for ages 0–2, 3–5, and 6–21. Population by age data were used to allocate these totals proportionally into the 0–4 and 5–8 age categories. Special education spending was taken from Senate Fiscal Agency Program descriptions. The total spending includes the appropriations reimbursing intermediate school districts and school districts for 28.6138% of total approved costs for special education students and 70.4165% of special education transportation costs. The spending data are from FY 2012 and were allocated proportionally by age. • Summer Food Service Program (SFSP) Total spending and the number of children served were taken from MDE program materials. Allocations to ages 0–4 and 5–8 were done using the same methodology as the After School Snack Program. Data are from FY 2011. • The Emergency Food Assistance Program (TEFAP) Total spending was taken from MDE program materials. The total number served was provided by the MDE. Data are from FY 2011. This program serves adults and children. The total number of children served was based on the percentage of Food Assistance Program recipients that are children. Allocations to ages 0–4 and 5–8 were based on the percentage of Food Assistance Program recipients in those age categories. 147 • Appendix • Methodology: Program Inventory Estimates • Title I, Part A – Improving Basic Programs The total number of children served was taken from MDE program materials. This total was assumed to be for K–12 and was allocated to ages 5–8 based on the share of free/reduced lunch recipients in this age range. Title I is allocated to K–12 grades, and it is allowable to serve preschoolers with the funds; however, the Michigan Electronic Grants System does not have the ability to collect preschool information yet. Spending and caseloads are for FY 2012. • Title II – Improving Teacher and Principal Quality Total spending was taken from National Education Association information reporting Title II appropriations for all 50 states. Data are from FY 2012. • Title III – Language Instruction for Limited English Proficient Students Total spending and students served information were provided by the MDE. Data are from FY 2012. Tax Credit Estimates 3 • Child and Dependent Care Credit IRS Statistics of Income data were used to calculate the number of returns claiming this credit and the dollars claimed in Michigan for tax year 2008. Household size was calculated using Census data and return filing status statistics and further assumptions were made to estimate the number of children ages 0–4 and 5–8 represented in these households. IRS filing projections were used to grow the estimates to 2012. • Child Tax Credit Brookings Institution data were used to calculate the number of returns claiming this credit and the dollars claimed in Michigan for 2008. Census data and filing status data were used to estimate household size and further assumptions were made to estimate the number of children ages 0–4 and 5–8 represented in these households. IRS filing projections were used to grow the estimates to 2012. • Earned Income Tax Credit – Federal Federal EITC data for Michigan for 2008 from the Brookings Institution for 2008 were used as an estimate starting point. Michigan Department of Treasury data on the household size of Michigan EITC recipients were used to estimate the number of children in households receiving the EITC, and the number of children ages 0–4 and 5–8 was derived from this total using population data. The dollars were assumed to split proportionally with the number of children. Total federal spending for the Michigan EITC was grown from 2008 to 2012 using the same assumptions as were used for the Michigan EITC. All EITC dollars were assumed to support children rather than adults. • Earned Income Tax Credit – Michigan A Michigan Department of Treasury report was used to estimate the number of children in households receiving the EITC in 2008. Census data were used to apportion these children by age. IRS projections on the number of Michigan filers for 2012 were used to grow the estimate of children served from 2008 to 2012. The dollars were grown from FY 2008 to FY 2012 using Michigan The methodology for estimating the tax credits is quite involved and only a summary is presented here. Additional information on the methodology used is available upon request. 3 148 • Appendix • Methodology: Program Inventory Estimates Department of Treasury estimates of EITC growth. The estimates were also adjusted for changes in Michigan tax law. 149